Esofagitis necrosante aguda: análisis retrospectivo

Ramos, R.; Mascarenhas, Joana D’Arc Pereira; Duarte, P.; Vicente, C.; Casteleiro, C.

doi:10.4321/s1130-01082008000900010

Cited by 19 publications

(10 citation statements)

References 4 publications

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“…The etiology of ANE remains unknown, some authors believe that ischemia is the main cause [2-4, 13], but massive gastroesophagic reflux [14] and NSAID intake could also be involved [7], It seems possible that all of these factor had contributed to development of ANE in this patient, this supports the idea that etiology could be multifactorial [15]. …”

Section: Discussionsupporting

confidence: 64%

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Acute Necrotizing Esophagitis Followed by Duodenal Necrosis

Hierro

2011

Gastroenterol Res

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Acute Necrotizing Esophagitis is an uncommon pathology, characterized by endoscopic finding of diffuse black coloration in esophageal mucosa and histological presence of necrosis in patients with upper gastrointestinal bleeding. The first case of acute necrotizing esophagitis followed by duodenal necrosis, in 81 years old woman with a positive history of Type 2 Diabetes Mellitus, Hypertension, and usual intake of Nonsteroidal Anti-inflammatory drugs, is reported. Although its etiology remains unknown, the duodenal necrosis suggests that ischemia could be the main cause given that the branches off the celiac axis provide common blood supply to the distal esophageal and duodenal tissue. The massive gastroesophagic reflux and NSAID intake could be involved.

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Section: Discussionsupporting

confidence: 64%

“…The black esophagus is a rare entity, which incidence has not been defined [3, 4], some studies show that it may be between 0.01% [5, 6] and 0.28 % [4]. A study performed among Japanese patients with UGB found an incidence of 6% [7].…”

Section: Discussionmentioning

confidence: 99%

Acute Necrotizing Esophagitis Followed by Duodenal Necrosis

Hierro

2011

Gastroenterol Res

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“…This patient was affected by chronic ischaemic heart disease, hypertension and pneumonia and was subsequently diagnosed with ZES. AON reoccurrence is a rare event that has rarely been observed [11,12]. To our knowledge, only two other cases with AON relapse have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, only two other cases with AON relapse have been reported. Tanaka et al reported the case of a male patient with multiple comorbidities (diabetes mellitus, hypertension, hyperlipidaemia, and angina pectoris) with a reoccurrence after approximately 5 months from the first episode [11], and Ramos et al described a patient who developed a new AON after 4 months [12]. Even if recurrence is rare, it represents an important event to consider in this setting.…”

Section: Discussionmentioning

confidence: 99%

Occurrence of Acute Oesophageal Necrosis (Black Oesophagus) in a Single Tertiary Centre

Orlando¹,

Carabotti²,

Ruggeri³

et al. 2019

JCM

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Acute oesophageal necrosis (AON) is a rare condition characterised by the endoscopic finding of diffuse, circumferential, black mucosal pigmentation of the oesophagus, which typically stops at the gastro-oesophageal junction. This observational study aimed to assess the occurrence, clinical characteristics and outcomes of AON in a consecutive endoscopic cohort in a single tertiary university centre. A retrospective analysis of endoscopic data of upper gastrointestinal endoscopy (UGE) was carried out from 2008 to 2018. Out of 25,970 UGE, 16 patients (0.06%) had AON; 75.0% were men with a median age of 75 years. Almost all patients underwent diagnosis during emergency UGE performed for gastrointestinal bleeding, but one patient was diagnosed during elective UGE for persistent vomiting and diarrhoea. All patients reported one or more pre-existing comorbidities and concomitant acute events. Two patients had AON as the first presentation of Zollinger–Ellison syndrome (ZES). One patient developed an oesophageal stenosis, and another patient presented a relapse of AON. Mortality was 50%, but no patient died as a direct consequence of AON. AON is a rare cause of gastrointestinal bleeding diagnosed mainly during emergency UGE. Our study showed that ZES might manifest with this critical presentation, and endoscopists must be aware of this evidence.

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“…It tends to be more frequent in critically ill patients, particularly those with refractory shock or systemic inflammatory disease. The estimated incidence ranges between 0.001% and 0.028% based on autopsy and endoscopic series 4 - 8…”

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confidence: 99%