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Acute Esophageal Necrosis: An Update.
Faisal Inayat1, Abu Hurairah2, Hafeez Ul Hassan Virk3
1Department of Medicine, New York-Presbyterian Hospital, Weill Cornell Medical College, New York City, NY, USA.
North American Journal of Medical Sciences
|September 2, 2016
Summary
Acute esophageal necrosis (AEN), or black esophagus, is a rare condition. Poor glycemic control may be linked to AEN, impacting its poor prognosis in elderly patients with comorbidities.
Area of Science:
- Gastroenterology
- Endocrinology
Background:
- Acute esophageal necrosis (AEN), also known as black esophagus, is a rare clinical diagnosis.
- The etiology of AEN remains unclear, posing diagnostic and therapeutic challenges.
Observation:
- Diagnosis is confirmed during upper gastrointestinal endoscopy by the characteristic appearance of a black, necrotic esophagus.
- Patients diagnosed with AEN are often elderly and have significant comorbid conditions, contributing to a generally poor prognosis.
Findings:
- This review explores the potential implications of poor glycemic control as a contributing factor to the development of AEN.
- The literature review focuses on understanding the relationship between metabolic derangements and esophageal necrosis.
Implications:
- Understanding the role of glycemic control may offer new insights into AEN pathogenesis.
- Further research into metabolic factors could potentially improve AEN management strategies and patient outcomes.
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