Figure - available from: Digestive Diseases and Sciences
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Esophagogastroduodenoscopy showing A ulceration circumferential, black-appearing distal esophageal necrosis at 29–33 cm. CT scan without contrast showing B intrathoracic gastric herniation with organo-axial volvulus and distal esophageal thickening
Source publication
Background and Aims
Acute esophageal necrosis (AEN) in the setting of gastric volvulus is a rare condition with only a handful of cases reported. Volvulus may contribute to AEN by limiting tissue perfusion and promoting massive reflux of gastric contents on compromised esophageal mucosa.
Methods
We reviewed 225 original articles, literature review...
Citations
... In the treatment, naso-gastric tubes should not be used because of the high risk of oesophageal perforation [16,19]. Surgical procedure is needed when perforation or abscess formation occurs [9,29,66]. Among possible complications can be distinguished perforation (about 7% of cases), stenosis of the oesophagus (>10% of patients), and death (up to 30%) [3,9]. ...
