Black esophagus after combined liver-kidney transplantation

Escaño, Elena Aranda; Prieto, Mikel; Valero, Arkaitz Perfecto; Iglesia, Miriam Tellaeche de la; Mateo, Mikel Gastaca; López, Andrés Valdivieso

doi:10.1016/j.gastre.2019.07.008

Cited by 4 publications

(20 citation statements)

References 3 publications

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“…25,27 The review of the previous literature shows a very heterogeneous distribution of therapeutic strategies due to the lack of both a grading of the perforation and a proposal as a guiding structure for the therapeutic decision. 3,4,7,9,10,11,13,15,17,18,19,21,22,26 There was no grade classi cation in any of the studies. Comparability of the studies is therefore not given.…”

Section: Discussionmentioning

confidence: 98%

“…Anastomotic insu ciencies have so far been discussed in the literature together with all other oesophageal perforations, no differentiation has taken place, which makes standardisation di cult. 3,5,10,11,18,28 In this study, a larger and homogeneous patient collective without anastomotic insu ciencies is considered. The patients all had oesophageal perforation without previous esophagectomy.…”

Section: Introductionmentioning

confidence: 99%

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Classification of the oesophageal perforation

Harrich

Knoefel

Bölke

et al. 2023

Preprint

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Objectives Oesophageal perforations are a complex clinical scenario that has been poorly studied. To date, there is no staging of oesophageal perforation. The outcome is often fatal and heterogeneous, which is related to the fact that there is no classification and no treatment guideline. Methods The observation period of the study covered a period of four years. The cause of the injury and the time interval between the event and the start of therapy were analyzed. Therapy and the clinical signs of infection were evaluated. Endpoints of the study were patient recovery or death due to sepsis. The study was conducted as a retrospective single-center study in a maximum-care hospital and has been approved by the review board. Patients gave informed consent before data collection. All data were analyzed using SPSS (IBM SPSS Statistics software). Results For this study, oesophageal perforation cases from a maximum care hospital were summarized and classified for the first time, from which a prediction of lethality could be derived. The proposed endoscopic radiological classification correlated with survival in our study. Accordingly, we were able to suggest a therapeutic option to the different stages. It can be seen that lethality correlates significantly with the severity of the perforation. As a final result of the study a prediction of mortality at diagnosis is now possible. Conclusion Oesophageal perforations can be systematically classified into grades I to IV, with grade III divided into a, b, and c according to the height of the perforation in relation to the anatomy. A treatment guideline can now be discussed according to the severity of the perforation.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Classification of the oesophageal perforation

Harrich

Knoefel

Bölke

et al. 2023

Preprint

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“…Ūminė stemplės nekrozė (ŪSN), dar kitaip vadinama "juodąja stemple", Gurvito sindromu ar ūminiu nekroziniu ezofagitu, yra reta, tačiau gyvybei pavojinga būklė [1][2][3][4][5][6][7]. Nors liga pirmą kartą aprašyta 1990 m., tačiau tikslus etio-loginis veiksnys iki šiol neaiškus [5][6][8][9][10].…”

Section: įVadasunclassified

“…Nors liga pirmą kartą aprašyta 1990 m., tačiau tikslus etio-loginis veiksnys iki šiol neaiškus [5][6][8][9][10]. Pagrindiniai rizikos veiksniai yra lėtinės sisteminės ligos, pooperacinės būklės, imunosupresija ir blogas mitybinis statusas [1][2][5][6]. Ši būklė dažniau pasitaiko vyrams nei moterims, o paplitimas bendroje populiacijoje svyruoja nuo 0,008 iki 0,2 procento [1,8,10].…”

Section: įVadasunclassified

Ūminė Stemplės Nekrozė: Literatūros Ir Klinikinių Atvejų Apžvalga

Vindžigalskytė,

Baliūnaitė,

Kiudelis

2024

Health Sciences

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Tyrimo tikslas. Atlikti literatūros šaltinių analizę apie ūminės stemplės nekrozės (ŪSN) etiopatogenezę, klinikinius požymius, diagnostikos ir gydymo galimybes. Metodai. Remiantis Google Scholar, PubMed ir ClinicalKey duomenų bazių šaltiniais, išanalizuota 16 publikacijų pasirinkta tema. Išvados. ŪSN yra daugiaetiologė liga, kliniškai pasireiškianti kraujavimo iš viršutinio virškinamojo trakto požymiais, skausmu epigastrio srityje, karščiavimu, silpnumu. Pagrindinis diagnostikos metodas yra endoskopinis tyrimas. Gydymas apima intraveninę hidrataciją, antacidinius vaistus, parenterinę mitybą, nil per os principą ir komplikacijų valdymą.

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“…AEN's diagnosis is confirmed based on oesophagogastroduodenoscopy, which reveals diffuse or patchy circumferential black necrotic oesophageal mucosa [1,2,4]. The syndrome occurs predominantly in males compared to females (4:1) [2,4,10], who have multiple comorbidities with the peak incidence at the sixth decade of life [3,4]. This can be explained by the fact that men are more likely to have atherosclerotic vascular disease than women [6,11].…”

Section: Introductionmentioning

confidence: 99%

Into the dark of the black oesophagus

Rycyk-Bojarzyńska,

Kasztelan-Szczerbińska,

Cichoż-Lach

2023

Ann Agric Environ Med.

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Acute esophageal necrosis (AEN), known as black oesophagus or Gurvit's syndrome, is an extremely rare clinical syndrome. Patients usually present with life-threatening symptoms of upper gastrointestinal haemorrhage (70-90% of cases), as in this case report. Diagnosis of AEN is confirmed based on oesophagogastroduodenoscopy which reveals diffuse or patchy circumferential black necrotic oesophageal mucosa. The presented patient had some comorbidities, such as poorly controlled diabetes mellitus, secondary to chronic pancreatitis, hypertension, after cholecystectomy, addiction to alcohol and tobacco, and taking a small spoon of baking soda three times a day for a few months because of heartburn. Despite the poor prognosis of AEN, with mortality about 32-35%, most patients present with endoscopic improvement in short time -from 7 days to 1 month. Fortunately, the patient did not to have any complications in the course of AEN, and the treatment was effective.

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Black esophagus after combined liver-kidney transplantation

Cited by 4 publications

References 3 publications

Classification of the oesophageal perforation

Classification of the oesophageal perforation

Ūminė Stemplės Nekrozė: Literatūros Ir Klinikinių Atvejų Apžvalga

Into the dark of the black oesophagus

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