Gastrointestinal: Afatinib-induced acute esophageal necrosis

2018 ◽  
Vol 33 (9) ◽  
pp. 1562-1562 ◽  
Author(s):  
Y Matsumoto ◽  
S Kuroki ◽  
H Yamada
Keyword(s):  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis

scholarly journals Acute Esophageal Necrosis Secondary to a Paraesophageal Hernia

2021 ◽  
pp. 594-597
Author(s):  
Chris J. Li ◽  
Benjamin B. Claxton ◽  
Peter Block ◽  
Sean Reilly ◽  
Scott Manski ◽  
...  
Keyword(s):  
Paraesophageal Hernia ◽  
Gastric Volvulus ◽  
Gastrointestinal Symptoms ◽  
Antibiotic Use ◽  
Causative Factor ◽  
Low Flow ◽  
Barium Swallow ◽  
Esophageal Mucosa ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis

Acute esophageal necrosis (AEN) or “black esophagus” is a rare clinical entity caused by necrosis of distal esophageal mucosa stemming from esophageal ischemia. Possible etiologies are broad but most commonly include possible triggers of low-flow vascular states in the esophagus, including infections, broad-spectrum antibiotic use, and gastric volvulus, among others. Patients most commonly present clinically with acute onset hematemesis and melena. Here, we describe a patient who initially presented with multiple nonspecific gastrointestinal symptoms, including abdominal pain and nausea, that progressed over a 10-day period, culminating in multiple episodes of hematemesis prior to presentation. Endoscopic evaluation confirmed the diagnosis of AEN and unveiled a possible paraesophageal hernia (PEH) as the causative factor. A subsequent videofluoroscopic barium swallow was utilized to better characterize the upper gastrointestinal anatomy and confirmed the PEH as a likely etiology. Esophagogastroduodenoscopy (EGD) can often identify PEH independently, but in patients with AEN secondary to a possible, but unclear, PEH on EGD, a videofluoroscopic barium swallow is an appropriate and useful next step in confirming the diagnosis. While treatment of AEN traditionally involves fluid resuscitation, intravenous protein pump inhibitors, and total parenteral nutrition, surgical intervention is often indicated in patients who have a contributing and symptomatic PEH.

Acute esophageal necrosis after lung cancer surgery

2009 ◽  
Vol 57 (8) ◽  
pp. 437-439 ◽  
Author(s):  
Kazuhiro Katsuhara ◽  
Shinji Takano ◽  
Youta Yamamoto ◽  
Sigeharu Ueda ◽  
Kenji Nobuhara ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Lung Cancer Surgery ◽  
Cancer Surgery ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis

scholarly journals Acute Esophageal Necrosis

2017 ◽  
pp. 93-98
Author(s):  
M.G. Sachek ◽  
◽  
М.О. Rusetskaya ◽  
S.N. Ermashkevich ◽  
N.М. Konderskij ◽  
...  
Keyword(s):  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis

A Case of Acute Esophageal Necrosis in a Patient with Diabetic Ketoacidosis

2012 ◽  
Vol 83 (1) ◽  
pp. 117 ◽  
Author(s):  
Jae Hyoung Im ◽  
Min Su Kim ◽  
Seung Yoen Lee ◽  
So Hun Kim ◽  
Seong Bin Hong ◽  
...  
Keyword(s):  
Diabetic Ketoacidosis ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis

Black Esophagus: Acute Esophageal Necrosis

2014 ◽  
Vol 109 ◽  
pp. S225
Author(s):  
Hiren Patel ◽  
Deepshikha Nag Chowdhury ◽  
Nihar Shah ◽  
Arya Karki ◽  
Robert Spira
Keyword(s):  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Black Esophagus
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