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Updated: Oct 3, 2025
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
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[Acute oesophageal necrosis: A rare complication]
L Conrad1, M Pinheiro1, L Mais1
1Service de gastroentérologie, hôpital d'instruction des armées Desgenettes, Lyon, France.
La Revue De Medecine Interne
|February 21, 2022
Summary
Acute esophageal necrosis (AEN) is a rare condition causing black esophageal tissue. Early diagnosis and treatment, including nutritional support and PPIs, lead to complete healing in older patients with gastrointestinal bleeding.
Area of Science:
- Gastroenterology
- Internal Medicine
Background:
- Acute esophageal necrosis (AEN) is a rare disorder characterized by diffuse black esophageal mucosa.
- Upper gastrointestinal endoscopy is crucial for diagnosis.
- AEN has a high mortality rate, necessitating rapid recognition and management.
Observation:
- A case of a 93-year-old patient presenting with upper gastrointestinal bleeding is described.
- Upper endoscopy revealed grade D AEN according to the Los Angeles classification.
- The patient was treated with parenteral nutrition and intravenous proton pump inhibitors.
Findings:
- Endoscopic follow-up at 2 and 6 weeks demonstrated favorable outcomes.
- Optimal and early management resulted in complete esophageal healing within 6 weeks.
Implications:
- AEN should be suspected in elderly, polyvascular patients with upper gastrointestinal bleeding.
- Prompt diagnosis and management are critical for improving patient outcomes.
- This case highlights the efficacy of nutritional support and PPIs in AEN treatment.
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