黒色食道を呈した急性壊死性食道炎の4例  [in Japanese] Black esophagus due to acute necrotizing esophagitis : Four case reports  [in Japanese]

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Author(s)

Abstract

急性壊死性食道炎の4例を経験した.4例とも初発症状は吐血で,上部消化管内視鏡検査では特徴的な黒色食道を呈した.発症時の基礎疾患は,3例がケトアシドーシス,2例が糖尿病であった.3例は保存的に軽快し,死亡例を1例認めたが死因は急性壊死性食道炎によるものではなく,基礎疾患である敗血症が予後を規定した.急性壊死性食道炎はまれな疾患ではあるが,緊急内視鏡における鑑別診断として念頭に置くべきであると考える.<br>

We describe four patients with acute esophageal necrosis who were admitted to hospital due to upper gastrointestinal bleeding. "Black esophagus" is endoscopically defined as diffuse dark pigmentation of the esophageal wall. The underlying conditions were ketoacidosis in three of the patients and diabetes mellitus in two. Three patients responded well to empirical supportive therapy and one patient died of coexisting illness rather than the esophageal status. Acute esophageal necrosis is a rare entity that should be considered in the differential diagnosis of upper gastrointestinal bleeding.<br>

Journal

  • Nippon Shokakibyo Gakkai Zasshi

    Nippon Shokakibyo Gakkai Zasshi 108(5), 759-768, 2011-05-05

    The Japanese Society of Gastroenterology

References:  24

Cited by:  2

Codes

  • NII Article ID (NAID)
    10030297299
  • NII NACSIS-CAT ID (NCID)
    AN00192124
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    04466586
  • Data Source
    CJP  CJPref  J-STAGE 
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