Patients usually present with hematemesis after
an episode of acute, severe and prolonged vomiting. Bleeding is usually
painless and is rarely significant enough to require blood transfusion. In
children, specific treatment is rarely required. If bleeding persists, then
treatment modalities include vasopressin, angiographic-guided embolization,
and, rarely, surgical control of the bleeding. Pediatric patients usually
require anesthesia for endoscopy.