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Related Concept Videos

Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more similar...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Esophageal Achalasia01:27

Esophageal Achalasia

Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide (VIP)...

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Updated: Jun 27, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

Black esophagus: a case report.

Maha M Maher1, Mahmoud I Nassar

  • 1Gastroenterology Department, Mansoura University, Internal Medicine Specialty Hospital, Mansoura, Egypt. mahamaher66@hotmail.com.

Cases Journal
|December 3, 2008
PubMed
Summary
This summary is machine-generated.

Black esophagus, a rare finding during endoscopy, was observed in a patient with multiple comorbidities following hypotensive episodes. This case highlights the clinical, endoscopic, and histopathological features of this condition.

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Using the Endoscope for Endobronchial Ultrasound in the Esophagus
04:35

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Published on: November 21, 2023

Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Pathology

Background:

  • Black esophagus is an uncommon endoscopic finding.
  • It is often associated with acute conditions and can be linked to ischemia or other insults.
  • The underlying mechanisms and clinical significance require further elucidation.

Purpose of the Study:

  • To report a rare case of black esophagus.
  • To detail the clinical presentation, endoscopic findings, and histopathological characteristics.
  • To contribute to the understanding of black esophagus in critically ill patients.

Main Methods:

  • Case report of a male patient with chronic obstructive pulmonary disease, hypertension, diabetes, and acute renal failure in a septic state.
  • Upper endoscopy was performed.
  • Histopathological examination of esophageal tissue was conducted.

Main Results:

  • The patient developed a black esophagus after experiencing hypotensive episodes.
  • Endoscopic examination revealed diffuse black discoloration of the esophageal mucosa.
  • Histopathology confirmed the diagnosis and showed characteristic features.

Conclusions:

  • Black esophagus can occur in critically ill patients with significant comorbidities following hemodynamic compromise.
  • This case underscores the importance of recognizing black esophagus during endoscopy in such patients.
  • Further research is needed to understand the pathophysiology and clinical implications of black esophagus.