Acute esophageal necrosis: A 1-year prospective study

Soussan, Emmanuel Ben; Savoye, Guillaume; Hochain, P; Hervé, Sophie; Antonietti, Michel; Lemoine, F; Ducrotté, Philippe

doi:10.1016/s0016-5107(02)70180-6

Cited by 116 publications

(56 citation statements)

References 13 publications

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“…AEN is reportedly a rare disorder with a prevalence of 0.02-0.28% [17,21,22,24], whereas AEML including black and non-black esophagitis is presumably more common than has hitherto been recognized.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Clinical Characteristics of Patients with Acute Esophageal Mucosal Lesion and those with Severe Reflux Esophagitis

et al. 2018

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Background: The term “acute esophageal mucosal lesion (AEML)” includes black esophagitis, and non-black esophagitis characterized by diffuse circumferential erosions without black-appearing mucosa. Black esophagitis is easily diagnosed, whereas non-black esophagitis is often misdiagnosed as severe reflux esophagitis (sRE). The aim of this study was to determine differences in clinical characteristics of patients with AEML and those with sRE. Methods: Thirty-nine patients with sRE and 32 patients with AEML were diagnosed on the basis of endoscopic findings from 2009 to 2016. Characteristics assessed included age, sex, medication use, coexisting endoscopic finding, comorbidities, laboratory tests results, and chief complaints. Results: In contrast with sRE, male sex, need for emergency endoscopy, presence of duodenal lesions, hypertension, and renal dysfunction were positively associated with AEML. Analysis of associations between laboratory data and AEML showed that high white blood cell count, blood urea nitrogen, and blood glucose were significantly associated with an increase OR for AEML. Conclusions: We showed that AEML differed from sRE regarding both endoscopic findings and clinicopathological features. AEML has not been widely recognized, but it should be defined as a distinct inflammatory disease of the esophagus consisting of both black and non-black esophagitis.

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Section: Discussionmentioning

confidence: 99%

Comparison of Clinical Characteristics of Patients with Acute Esophageal Mucosal Lesion and those with Severe Reflux Esophagitis

et al. 2018

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“…Acute esophageal necrosis or black esophagus (Gurvits Syndrome) is a disease characterized by diffuse, circumferential black appearing mucosa that always affects the distal mucosa due to relative hypovascularity [1, 2] Estimated incidence is between 0.008 and 0.28% of patients undergoing upper endoscopy based on autopsy and retrospective reviews [1, 3–5]. It occurs more frequently in older males with medical comorbidities such as diabetes, malignancy, hypertension, and alcohol abuse [3, 4, 6].…”

Section: Discussionmentioning

confidence: 99%

Forsaken Foregut: Case Report of Simultaneous Black Esophagus and Ischemic Cholangiopathy

Cameron

Schweiger

2017

Case Reports in Medicine

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Black esophagus or acute esophageal necrosis rarely occurs after severe hemodynamic compromise or low-flow states. Other contributing factors may include corrosive injury from gastric contents and diminished mucosal repair mechanisms. Ischemic cholangitis, another rare clinical entity, is also usually the result of a significant vascular and/or hypotensive insult to the biliary tree. We describe the first case of combined acute esophageal necrosis and ischemic cholangiopathy in a 62-year-old male who completely recovered from the esophageal injury but developed progressive liver failure from ischemic cholangiopathy.

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“…The incidence of black esophagus is very low, ranging from 0.012 to 0.2 %, and according to the literature, 90 cases have been reported so far [3,4]. The etiology is unknown in most cases.…”

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confidence: 99%