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Related Concept Videos

Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

69
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
69
Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

35
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
35
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

18
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
18
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

35
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
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...
35
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

22
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
22
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

23
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
23

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Updated: May 7, 2025

ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
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The Black Esophagus: A Rare Case Presentation.

Archit Garg1, Mehak Bassi2, Arkady Broder2

  • 1Internal Medicine, Saint Peter's University Hospital, New Brunswick, USA.

Cureus
|January 2, 2025
PubMed
Summary
This summary is machine-generated.

Acute esophageal necrosis (AEN), or black esophagus, is a rare condition presenting as upper gastrointestinal bleeding. Early diagnosis and management in elderly patients are crucial to prevent severe complications.

Keywords:
acute esophageal necrosisblack esophagusendoscopyischemianecrotizing esophagitisupper gastrointestinal bleeding

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Area of Science:

  • Gastroenterology and Endoscopy

Background:

  • Acute esophageal necrosis (AEN), also known as black esophagus or Gurvits syndrome, is an uncommon endoscopic finding.
  • It is characterized by diffuse, circumferential, black discoloration of the esophagus, typically in elderly males presenting with upper gastrointestinal bleeding.

Observation:

  • A case report details a 78-year-old male with comorbidities who presented with symptoms of gastrointestinal bleeding post-hernia repair.
  • Endoscopic examination revealed the characteristic black discoloration of the esophagus, confirming AEN.
  • The patient experienced postoperative gastrointestinal bleeding, necessitating endoscopic evaluation.

Findings:

  • The patient was diagnosed with acute esophageal necrosis (AEN) following upper endoscopy.
  • Management included fluid resuscitation, proton pump inhibitors, nutritional support, and endoscopic interventions for bleeding control.

Implications:

  • Physicians should maintain a high index of suspicion for AEN in elderly patients presenting with upper gastrointestinal bleeding.
  • Prompt diagnosis and management of AEN are essential to prevent severe outcomes such as esophageal perforation and mediastinitis.