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[A case of acute necrotizing esophagitis]
Eun Jung Choi1, Si Hyung Lee, Sang Hee Lee
1Department of Internal Medicine, Yeungnam University School of Medicine, Daegu, Korea.
The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|December 22, 2010
Summary
Acute necrotizing esophagitis, a rare black esophagus disorder, can be associated with alcoholic hepatitis. This case highlights successful conservative treatment with a proton-pump inhibitor, leading to esophageal healing.
Area of Science:
- Gastroenterology
- Internal Medicine
Background:
- Acute necrotizing esophagitis is a rare esophageal disorder characterized by a black esophagus appearance on endoscopy.
- Alcoholic hepatitis is a known risk factor for various gastrointestinal complications.
Observation:
- A 48-year-old male with alcoholic hepatitis presented with hematemesis.
- Upper endoscopy revealed diffuse, friable, black mucosa throughout the esophagus.
Findings:
- The patient was treated conservatively with a proton-pump inhibitor.
- Esophageal mucosal lesions healed completely without any complications.
Implications:
- This case underscores the association between acute necrotizing esophagitis and alcoholic hepatitis.
- Conservative management with proton-pump inhibitors can be effective in treating this rare esophageal condition.
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