Acute esophageal necrosis: a case series of five patients presenting with "Black esophagus".
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Date
2011-01
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Abstract
Acute esophageal necrosis (AEN), also known as “Black esophagus”, is a rare condition that typically presents as upper gastrointestinal hemorrhage. A retrospective chart
analysis was conducted at two tertiary care hospitals over a
three-year period (2005–2007) using a computerized inpatient
database. Out of 9,179 upper endoscopies performed, five
patients (0.05% prevalence) were found to have black
esophagus. Their mean age was 44 years and themost common
presentation was upper gastrointestinal bleeding. All five patients had comorbid conditions, most commonly coronary artery disease, diabetes mellitus, and renal insufficiency. Two patients died, but the cause of death was not related to AEN in either. In conclusion, AEN is usually seen in critically ill elderly patients with multiple comorbid conditions, particularly vascular disease, diabetes mellitus and azotemia.
Description
Keywords
Acute esophageal necrosis, Black esophagus, Esophagitis, Necrotic esophagus, Upper gastrointestinal hemorrhage
Citation
Singh Dushyant, Singh Reetu, Laya Alexandra S. Acute esophageal necrosis: a case series of five patients presenting with "Black esophagus". Indian Journal of Gastroenterology. 2011 Jan-Feb; 30(1): 41-45.