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10.1155/2016/6584363

http://scihub22266oqcxt.onion/10.1155/2016/6584363
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C5011511!5011511!27642529
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suck abstract from ncbi


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pmid27642529      Case+Rep+Gastrointest+Med 2016 ; 2016 (ä): ä
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  • An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis #MMPMID27642529
  • Kalva NR; Tokala MR; Dhillon S; Pisoh WN; Walayat S; Vanar V; Puli SR
  • Case Rep Gastrointest Med 2016[]; 2016 (ä): ä PMID27642529show ga
  • Acute esophageal necrosis (AEN), also called ?black esophagus,? is a condition characterized by circumferential necrosis of the esophagus with universal distal involvement and variable proximal extension with clear demarcation at the gastroesophageal junction. It is an unusual cause of upper gastrointestinal bleeding and is recognized with distinct and striking mucosal findings on endoscopy. The patients are usually older and are critically ill with shared comorbidities, which include atherosclerotic cardiovascular disease, diabetes mellitus, hypertension, chronic renal insufficiency, and malnutrition. Alcoholism and substance abuse could be seen in younger patients. Patients usually have systemic hypotension along with upper abdominal pain in the background of clinical presentation of hematemesis and melena. The endoscopic findings confirm the diagnosis and biopsy is not always necessary unless clinically indicated in atypical presentations. Herein we present two cases with distinct clinical presentation and discuss the endoscopic findings along with a review of the published literature on the management of AEN.
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