title: Acute esophageal necrosis: a case series and long-term follow-up.
abstract: Acute esophageal necrosis (AEN) is a rare condition characterized by circumferential necrosis of varying lengths in the intrathoracic esophagus. Endoscopically, this process is manifested as a black esophagus. To date, limited case series exist describing AEN, and none report long-term follow-up. Our objective was to report 3 patients with AEN, all diagnosed within 1 year at a tertiary academic medical center, describing early and long-term outcomes of this rare disease. In the absence of perforation, patients can be managed conservatively with serial esophagogastroduodenoscopy (EGD). Long-term strictures may occur that require dilation.
authors.affiliation: Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California. Electronic address: stephanie.worrell@med.usc.edu.
authors.forename: Stephanie G
authors.initials: SG
authors.lastname: Worrell
authors.affiliation: Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California.
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Oh
authors.affiliation: Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California.
authors.forename: Christina L
authors.initials: CL
authors.lastname: Greene
authors.affiliation: Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California.
authors.forename: Steven R
authors.initials: SR
authors.lastname: DeMeester
authors.affiliation: Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Hagen
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D016145:Endoscopy, Digestive System; D004935:Esophageal Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D004947:Esophagus / Q000000981:diagnostic imaging / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009336:Necrosis; D013997:Time Factors; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents