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Acute alcoholic esophagitis.

D O'Riordan, M S Levine, I Laufer

    Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
    |March 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

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    Acute alcoholic esophagitis can cause transient esophageal inflammation and ulcers after binge drinking. Diagnosis relies on symptoms and radiographic findings, confirmed by recent alcohol consumption history.

    Area of Science:

    • Gastroenterology
    • Internal Medicine
    • Radiology

    Background:

    • Esophagitis is inflammation of the esophagus, often presenting with symptoms like dysphagia and odynophagia.
    • Alcohol consumption is a potential, though less commonly recognized, cause of acute esophageal injury.
    • Differentiating various causes of esophagitis is crucial for appropriate patient management.

    Observation:

    • Two patients presented with acute, transient esophagitis.
    • Symptoms occurred shortly after episodes of heavy alcoholic consumption (binge drinking).
    • Clinical presentation mimicked other common forms of esophagitis.

    Findings:

    • Double-contrast esophagrams revealed characteristic findings of erosive esophagitis.
    • Multiple superficial ulcers were identified in the mid and distal esophagus in both patients.

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  • Radiographic evidence of esophagitis correlated with the patients' recent history of alcohol abuse.

    • Implications:

    • Acute alcoholic esophagitis is a distinct clinical entity that should be considered in patients with unexplained esophagitis and a history of heavy alcohol intake.
    • Radiographic findings, particularly erosive changes and ulcerations, can support this diagnosis.
    • Recognizing alcoholic esophagitis aids in timely intervention and prevention of further esophageal damage.