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      Esófago negro secundario a esofagitis necrotizante aguda: Reporte de un caso clínico Translated title: Black esophagus due to acute necrotizing esophagitis: Report of one case

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          Translated abstract

          Acute esophageal necrosis, which presents as a black esophagus on endoscope, is an uncommon occurrence. It is defined as a dark pigmentation of the esophagus associated with histological mucosal necrosis. We report a 75-year-old man who developed black esophagus due to acute esophageal necrosis caused by septicemia. The patient had a favorable evolution.

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          Acute esophageal necrosis: a 1-year prospective study.

          Emmanuel Soussan, Guillaume Savoye, Patrick Hochain … (2002)
          A prospective 1-year study was conducted to assess the frequency, clinical spectrum, histologic description, and follow-up of acute esophageal necrosis unrelated to ingestion of caustic or corrosive agents. The diagnosis of acute esophageal necrosis was based on a diffusely black esophagus at endoscopy and typical histologic features of diffuse mucosal and submucosal necrosis. Ingestion of caustic and corrosive agents was excluded in all patients. Medical history, associated diseases, and clinical symptoms were recorded for each patient. Nutritional status was evaluated based on clinical and biochemical parameters. Treatment included short-term parenteral nutrition and intravenous administration of a pump proton inhibitor. A second endoscopy was performed when possible at 2 weeks after presentation to assess regression of acute esophageal necrosis. Among 3900 patients who underwent EGD, 8 (0.2%) with acute esophageal necrosis were identified. Nutritional status was poor for 6 patients. Complete resolution of acute esophageal necrosis without further recurrence was observed in 4. No esophageal strictures appeared during follow-up. Four patients died, but no death was directly related to acute esophageal necrosis. Acute esophageal necrosis is not as infrequent an endoscopic finding as has been reported. Acute esophageal necrosis appears to be associated with poor general health status and is not a purely local phenomenon.
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            Black esophagus with concomitant candidiasis developed after diabetic ketoacidosis

            Yong Hwan Kim (2007)
            Black esophagus is a very rare disease and its pathogenesis has been unclear. Black esophagus developed concomitantly with candidiasis after diabetic ketoacidosis has not been reported yet. We report a case who developed esophageal stricture after the treatment of black esophagus and thus balloon dilatation was performed several times but failed, hence, surgical treatment was performed.
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              Acute necrotizing esophagitis.

              S Wain-Hobson, P Marignani, P Goldenberg (1990)
              Esophagitis of varying degrees and significance is caused by reflux, infections, radiation, and ingestion of chemical agents. A case of necrotizing esophagitis, seen as a black esophagus on endoscopy in a postoperative patient and resulting in long tubular stricture which ultimately required esophagectomy, is reported. Although the course of necrotizing esophagitis may parallel that associated with ischemia, severe caustic injury, or overwhelming infection, its etiology is uncertain. Diminished mucosal defenses, microbial implantation by a nasogastric tube placed perioperatively or sepsis, and transient ischemia with oxyradical formation and resultant reperfusion injury are hypothesized as important causative factors in the pathogenesis of acute necrotizing esophagitis.
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                Author and article information

                Journal
                Journal ID (publisher-id): rmc
                Title: Revista médica de Chile
                Abbreviated Title: Rev. méd. Chile
                Publisher: Sociedad Médica de Santiago (Santiago, , Chile )
                ISSN (Print): 0034-9887
                Publication date (Print and electronic): May 2009
                Volume: 137
                Issue: 5
                Pages: 672-674
                Affiliations
                [02] orgnameHospital Británico de Buenos Aires orgdiv1Clínica Médica Argentina
                [04] orgnameClínica Olivos orgdiv1Unidad de Terapia Intensiva Argentina
                [01] orgnameHospital Británico de Buenos Aires orgdiv1Emergencias Argentina
                [03] orgnameClínica Olivos orgdiv1Gastroenterología Argentina
                Article
                Publisher ID: S0034-98872009000500011 Publisher ID: S0034-9887(09)13700511
                DOI: 10.4067/S0034-98872009000500011
                SO-VID: 8785c479-b1e3-41a5-bd5d-0f11b014a1e3
                License:

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                Date received : 26 August 2008
                Date accepted : 28 November 2008
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 3
                Product

                SciELO Chile

                Categories
                Subject: CASOS CLINICOS

                Keywords: Sepsis,Endoscopy, digestive system,Esophagitis
                Data availability:
                Keywords: Sepsis, Endoscopy, digestive system, Esophagitis

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