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Case Reports
. 2005 Sep 21;11(35):5568-70.
doi: 10.3748/wjg.v11.i35.5568.

Acute esophageal necrosis caused by alcohol abuse

Tetsu Endo  1 , Juichi Sakamoto, Ken Sato, Miyako Takimoto, Koji Shimaya, Tatsuya Mikami, Akihiro Munakata, Tadashi Shimoyama, Shinsaku Fukuda
Affiliations
Case Reports

Acute esophageal necrosis caused by alcohol abuse

Tetsu Endo et al. World J Gastroenterol. .

Abstract

Acute esophageal necrosis (AEN) is extremely rare and the pathogenesis of this is still unknown. We report a case of AEN caused by alcohol abuse. In our case, the main pathogenesis could be accounted for low systemic perfusion caused by severe alcoholic lactic acidosis. After the healing of AEN, balloon dilatation was effective to manage the stricture.

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Figures

Figure 1
Figure 1
A: Endoscopy on d 2 shows that esophagus is circumferentially black and friable. B: Endoscopy on d 24 shows stricture formation at the middle esophagus. The mucosa is covered by white exudate.
Figure 2
Figure 2
Barium swallow study. A: Stricture formation at middle esophagus on d 27. The diameter of the lumen was 6 mm; B: On d 41, improvement of the stricture was seen after balloon dilatation.
See this image and copyright information in PMC

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