Related Experiment Video
Updated: Sep 20, 2025

In Vitro Apical-Out Enteroid Model of Necrotizing Enterocolitis
Published on: June 8, 2022
Necrotizing Esophagitis: A Big Squeeze?
George Rakovich1, Sébastien Rolland2
1Section for Thoracic Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, Montreal, Quebec, Canada.
Necrotizing esophagitis is a rare condition. This study suggests esophageal spasm may contribute to its development, challenging simplistic existing theories.
Area of Science:
- Gastroenterology
- Esophageal Diseases
- Pathophysiology
Background:
- Necrotizing esophagitis is an uncommon and poorly understood esophageal condition.
- Existing proposed etiologies, such as gastroesophageal reflux with gastric outlet obstruction and low-flow ischemia, lack direct supporting evidence.
- These simplistic explanations do not fully account for the observed pathology.
Purpose of the Study:
- To present a recent clinical case of necrotizing esophagitis.
- To explore and propose esophageal spasm as a potential contributing factor to necrotizing esophagitis.
- To challenge existing simplistic etiological theories for this rare condition.
Main Methods:
- Clinical case illustration.
- Review of existing literature on necrotizing esophagitis.
- Argumentation based on clinical presentation and pathophysiological plausibility.
Main Results:
- A clinical case of necrotizing esophagitis is presented.
- Arguments are developed supporting esophageal spasm as a potential etiological factor.
- The limitations of current etiological hypotheses are highlighted.
Conclusions:
- Esophageal spasm warrants consideration as a contributing factor in necrotizing esophagitis.
- Further research is needed to elucidate the complex pathophysiology of necrotizing esophagitis.
- A multifactorial etiology, potentially including esophageal spasm, is likely for this rare condition.
Related Concept Videos
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...

