title: [Acute oesophageal necrosis in patients with diabetic ketoacidosis].
abstract: Acute oesophageal necrosis is a rarely seen phenomenon, occurring in situations with ischaemic insult in combination with gastric outlet obstruction or gastro-oesophageal reflux. The hallmark is circumferential necrosis of the oesophageal mucosa and it is associated with a high mortality. Two patients presented with haematemesis. They were admitted to hospital in a state of diabetic ketoacidosis. Endoscopy revealed acute oesophageal necrosis. They were stabilized and treated with high-dose proton pump inhibitors. Both patients recovered and were discharged without sequelae.
authors.affiliation: Kirurgisk Afdeling, Regionshospitalet Horsens. poul.edling@gmail.com
authors.forename: Poul
authors.initials: P
authors.lastname: Edling
authors.forename: Henrik
authors.initials: H
authors.lastname: Thomsen
mesh_terms: D000208:Acute Disease; D000328:Adult; D016883:Diabetic Ketoacidosis / Q000150:complications*; D016099:Endoscopy, Gastrointestinal; D004935:Esophageal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D004947:Esophagus / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009336:Necrosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*