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Updated: Mar 13, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Acute esophageal necrosis.
Beatriz Deoti E Silva Rodrigues1,2, Raniere Dos Santos3, Magda Maria Profeta da Luz4,3
1Department of Surgery, Federal University of Minas Gerais, Belo Horizonte, Brazil. bdeoti@gmail.com.
Acute esophageal necrosis (AEN), or black esophagus, is a rare condition causing upper gastrointestinal bleeding in critically ill patients. This case highlights AEN
Area of Science:
- Gastroenterology
- Internal Medicine
Background:
- Acute esophageal necrosis (AEN), also known as black esophagus, is a rare condition.
- It typically affects critically ill patients and is characterized by esophageal discoloration observed during endoscopy.
Observation:
- The primary clinical sign of AEN is upper gastrointestinal bleeding.
- Associated symptoms may include abdominal pain, dysphagia, nausea, vomiting, fever, and syncope.
Findings:
- Diagnosis relies on clinical suspicion and endoscopic findings; biopsy is not required.
- This article presents a case of AEN in a patient with multiple comorbidities during the post-operative period.
Implications:
- AEN is an important consideration in the care of elderly patients with significant health issues.
- Recognizing AEN is crucial for timely diagnosis and management in vulnerable patient populations.
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