Acute Esophageal Necrosis Following Orthotopic Liver Transplantation
Autor: | Jeffrey A Planchard, Grigoriy E. Gurvits, Ari Cohen, Joseph Koveleskie, Anna F Dikstein |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Acute esophageal necrosis Orthotopic liver transplantation medicine.medical_treatment 030204 cardiovascular system & hematology Liver transplantation Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine Internal Medicine medicine Rare syndrome Transplantation liver transplantation business.industry General Engineering Reflux medicine.disease Stenosis upper gi bleeding Esophageal stricture Etiology acute esophageal necrosis business 030217 neurology & neurosurgery |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.4090 |
Popis: | Acute esophageal necrosis (AEN) is a rare syndrome characterized by circumferential blackening of the esophageal mucosa extending from the gastroesophageal (GE) junction and affecting variable length of the organ. Its etiology is largely multifactorial including ischemic compromise, massive reflux of gastric secretions, and decreased mucosal defense. Endoscopy is diagnostic. Clinical management requires treatment of underlying condition, nil-per-os restriction, and anti-acids. Esophageal stricture or stenosis may be seen as late complication, managed symptomatically with dilatation. Mortality is high and related to associated medical conditions. We present the first case of AEN following orthotopic liver transplantation. |
Databáze: | OpenAIRE |
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