An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis
Acute esophageal necrosis (AEN), also called “black esophagus,” is a condition characterized by circumferential necrosis of the esophagus with universal distal involvement and variable proximal extension with clear demarcation at the gastroesophageal junction. It is an unusual cause of upper gastroi...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/6584363 |
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| author | Nikhil R. Kalva Madhusudhan R. Tokala Sonu Dhillon Watcoun-Nchinda Pisoh Saqib Walayat Vishwas Vanar Srinivas R. Puli |
| author_facet | Nikhil R. Kalva Madhusudhan R. Tokala Sonu Dhillon Watcoun-Nchinda Pisoh Saqib Walayat Vishwas Vanar Srinivas R. Puli |
| author_sort | Nikhil R. Kalva |
| collection | DOAJ |
| description | Acute esophageal necrosis (AEN), also called “black esophagus,” is a condition characterized by circumferential necrosis of the esophagus with universal distal involvement and variable proximal extension with clear demarcation at the gastroesophageal junction. It is an unusual cause of upper gastrointestinal bleeding and is recognized with distinct and striking mucosal findings on endoscopy. The patients are usually older and are critically ill with shared comorbidities, which include atherosclerotic cardiovascular disease, diabetes mellitus, hypertension, chronic renal insufficiency, and malnutrition. Alcoholism and substance abuse could be seen in younger patients. Patients usually have systemic hypotension along with upper abdominal pain in the background of clinical presentation of hematemesis and melena. The endoscopic findings confirm the diagnosis and biopsy is not always necessary unless clinically indicated in atypical presentations. Herein we present two cases with distinct clinical presentation and discuss the endoscopic findings along with a review of the published literature on the management of AEN. |
| format | Article |
| id | doaj-art-93ace556cbcb488899081346efc416b8 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-93ace556cbcb488899081346efc416b82025-02-03T01:25:58ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/65843636584363An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal NecrosisNikhil R. Kalva0Madhusudhan R. Tokala1Sonu Dhillon2Watcoun-Nchinda Pisoh3Saqib Walayat4Vishwas Vanar5Srinivas R. Puli6Division of Gastroenterology and Hepatology, University of Illinois College of Medicine at Peoria, IL, USADepartment of Pharmacology and Pathophysiology, St. George’s University School of Medicine, St. George’s, West Indies, GrenadaDivision of Gastroenterology and Hepatology, University of Illinois College of Medicine at Peoria, IL, USADivision of Gastroenterology and Hepatology, University of Illinois College of Medicine at Peoria, IL, USADivision of Gastroenterology and Hepatology, University of Illinois College of Medicine at Peoria, IL, USADivision of Gastroenterology and Hepatology, University of Illinois College of Medicine at Peoria, IL, USADivision of Gastroenterology and Hepatology, University of Illinois College of Medicine at Peoria, IL, USAAcute esophageal necrosis (AEN), also called “black esophagus,” is a condition characterized by circumferential necrosis of the esophagus with universal distal involvement and variable proximal extension with clear demarcation at the gastroesophageal junction. It is an unusual cause of upper gastrointestinal bleeding and is recognized with distinct and striking mucosal findings on endoscopy. The patients are usually older and are critically ill with shared comorbidities, which include atherosclerotic cardiovascular disease, diabetes mellitus, hypertension, chronic renal insufficiency, and malnutrition. Alcoholism and substance abuse could be seen in younger patients. Patients usually have systemic hypotension along with upper abdominal pain in the background of clinical presentation of hematemesis and melena. The endoscopic findings confirm the diagnosis and biopsy is not always necessary unless clinically indicated in atypical presentations. Herein we present two cases with distinct clinical presentation and discuss the endoscopic findings along with a review of the published literature on the management of AEN.http://dx.doi.org/10.1155/2016/6584363 |
| spellingShingle | Nikhil R. Kalva Madhusudhan R. Tokala Sonu Dhillon Watcoun-Nchinda Pisoh Saqib Walayat Vishwas Vanar Srinivas R. Puli An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis Case Reports in Gastrointestinal Medicine |
| title | An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis |
| title_full | An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis |
| title_fullStr | An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis |
| title_full_unstemmed | An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis |
| title_short | An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis |
| title_sort | unusual cause of acute upper gastrointestinal bleeding acute esophageal necrosis |
| url | http://dx.doi.org/10.1155/2016/6584363 |
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