Acute esophageal necrosis: a rare syndrome

@article{Gurvits2006AcuteEN,
  title={Acute esophageal necrosis: a rare syndrome},
  author={Grigoriy E Gurvits and Alexander Shapsis and Nancy Lau and Nicholas M. Gualtieri and James G Robilotti},
  journal={Journal of Gastroenterology},
  year={2006},
  volume={42},
  pages={29-38}
}
BackgroundAcute esophageal necrosis, which presents as a black esophagus on endoscopy, is a rare disorder that is poorly described in the medical literature. In this study, we analyze all cases reported to date to define risk factors, clinical presentation, endoscopic features, histologic appearance, treatment, complications, outcome and etiopathogenesis of the disease and to describe a distinct medical syndrome and propose a staging system.MethodsWe searched Medline and PubMed from January… 
Acute Esophageal Necrosis (Black Esophagus): An Autopsy Case Series
TLDR
This case series demonstrates ten cases of AEN with variation in appearance, yet diagnosis supported by histology, ancillary testing, and case information, suggesting that the prevalence of A EN may be underestimated, especially in forensic death investigations.
Acute esophageal necrosis syndrome
  • G. Gurvits
  • Medicine
    Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology
  • 2011
TLDR
The authors mention that “reflux esophagitis” was noted on endoscopy in two patients, and it would be, therefore, important to know about endoscopic findings in the duodenum in the case series.
Acute esophageal necrosis: a case series of five patients presenting with “Black esophagus”
TLDR
AEN is usually seen in critically ill elderly patients with multiple comorbid conditions, particularly vascular disease, diabetes mellitus and azotemia, and the most common presentation was upper gastrointestinal bleeding.
Acute Esophageal Necrosis: A View in the Dark
TLDR
3 cases of AEN in critically ill patients are presented and a review of the literature is provided to highlight what is currently known about this relatively uncommon esophageal disease.
Clinical presentations, management, and outcomes of acute esophageal necrosis: a systemic review
TLDR
Patients with acute esophageal necrosis can have a favorable outcome if treated appropriately if they are treated appropriately, according to the reported literature.
Sudden Esophageal Necrosis and Mediastinitis Associated with Invasive Candidiasis: A Case Report
TLDR
The case of a 37-year-old man with idiopathic chronic renal failure who presented to the Emergency Department with sudden esophageal necrosis and mediastinitis, associated with invasive candidiasis is presented.
Acute Esophageal Necrosis (Gurvits Syndrome) in a 78-Year-Old Male Filipino Patient: A Case
TLDR
A 78-year-old Filipino patient who developed hematemesis in the setting of hyperosmolar hyperglycemic state and a distinct isolated esophageal necrosis on upper gastrointestinal endoscopy is reported.
An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis
TLDR
Two cases with distinct clinical presentation are presented and the endoscopic findings confirm the diagnosis and biopsy is not always necessary unless clinically indicated in atypical presentations.
Black esophagus: a syndrome of acute esophageal necrosis associated with active alcohol drinking
TLDR
A 56-year-old woman with diabetes mellitus, gastro-esophageal reflux disease, and active alcohol binging who presented with hematemesis and acute epigastric pain due to AEN is reported, illustrating a rare etiology of AEN due to active alcohol drinking, which may be overlooked.
Acute esophageal necrosis: a case report and review
TLDR
A new case of acute necrotizing oesophagitis is reported and a literature review of this rare diagnosis is undertook.
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References

SHOWING 1-10 OF 58 REFERENCES
Idiopathic acute esophageal necrosis: not necessarily a terminal event.
TLDR
It is concluded that AEN is not necessarily a terminal phenomenon, notwithstanding that it is usually associated with pre-existent serious illness, Nevertheless, its etiology remains unknown.
Acute esophageal necrosis: a 1-year prospective study.
Acute necrotizing esophagitis: a large retrospective case series.
TLDR
Acute necrotizing esophagitis was more commonly recognized than has previously been reported and is a serious clinical entity that should be considered in the differential diagnosis of upper gastrointestinal bleeding, particularly in elderly patients.
Acute esophageal necrosis associated with alcoholic hepatitis: is it black or is it white?
TLDR
It was showed that ethanol-induced acute esophageal necrosis can appear in patients with a high alcohol intake, especially in immunosupressed patients with alcoholic hepatitis.
Acute necrotizing esophagitis: a case report.
TLDR
A patient with cholangiocarcinoma who had upper gastrointestinal bleeding and was found to have acute necrotizing esophagitis on the upper endoscopy is presented.
Acute Esophageal Necrosis Followed by Upper Endoscopy and Esophageal Manometry/pH Test
TLDR
A patient with AEN who was followed up by endoscopy and esophageal manometry/pH test is reported here, a rare disease whose pathogenesis remains unclear.
Acute esophageal necrosis and liver pathology, a rare combination
TLDR
A case of 'black esophagus' is described, first of its kind, in the setting of liver cirrhosis and hepatic encephalopathy, and described as a rare entity the exact etiology of which remains unknown.
"Black esophagus": a rare complication of shock.
TLDR
In this elderly patient, a state of shock resulted in ischemic infarction of the esophageal mucosa, and a repeated endoscopy demonstrated a striking improvement with granulation tissue.
Necrotizing esophagitis presenting as a black esophagus
TLDR
Ischemia is proposed as the etiology of necrotizing esophagitis on the basis of the patient's significant cardiac history, her age, and low-flow state.
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