Year 2023 / Volume 115 / Number 10
Letter
Black esophagus as an uncommon cause of gastrointestinal bleeding

595-596

DOI: 10.17235/reed.2023.9822/2023

Esther Maderuelo González, Fátima Valentín Gómez, Elena Santos Pérez, Antonio Martins Pinto da Costa, Diego de Frutos Rosa,

Abstract
Black esophagus (BE) or Acute esophageal necrosis (AEN) is rare clinical entity with an estimated incidence of 0.01-0.2% of patiens undergoing esophagogastroduodenoscopy (EGD). BE is characterized by circumferential blackish coloration of the mucosa, with abrupt interruption at the esophagogastric junction level, secondary to hypoperfusion and ischemia. Upper gastrointestinal hemorrhage is the most common presentation (70-90%), being a rare cause of it. We present 3 cases that were admitted in our center for hematemesis.
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References
1. Dias E, Santos-Antunes J, Macedo G. Diagnosis and management of acute esophageal necrosis. Ann Gastroenterol. 2019 Nov-Dec;32(6):529-540. doi: 10.20524/aog.2019.0418.
2- Day A, Sayegh M. Acute oesophageal necrosis: a case report and review of the literature. Int J Surg. 2010;8(1):6-14.
3- Lamers CR, Mares WGN, Bac DJ. Black esophagus: a case series and literature review of acute esophageal necrosis. Scand J Gastroenterol. 2018 Oct-Nov;53(10-11)
4- Figuero Pérez L, Olivares-Hernández A, Amores-Martín A, Cruz-Hernández JJ, Fonseca-Sánchez E. Acute esophageal necrosis induced by immune checkpoint inhibitors. Rev Esp Enferm Dig. 2022 Mar;114(3):182-183.
5- González Díaz I, Moreno-Sánchez M, Zarauza Soto Y, Burgos Garcia A. Black esophagus. Rev Esp Enferm Dig. 2022 Oct 7.
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Maderuelo González E, Valentín Gómez F, Santos Pérez E, Martins Pinto da Costa A, de Frutos Rosa D. Black esophagus as an uncommon cause of gastrointestinal bleeding. 9822/2023


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Publication history

Received: 07/07/2023

Accepted: 31/07/2023

Online First: 04/08/2023

Published: 09/10/2023

Article Online First time: 28 days

Article editing time: 94 days


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