进入黑色食道的黑暗之中。

IF 1.3 4区 医学 Q4 ENVIRONMENTAL SCIENCES Annals of Agricultural and Environmental Medicine Pub Date : 2024-09-25 Epub Date: 2023-12-27 DOI:10.26444/aaem/176295
Anna Rycyk-Bojarzyńska, Beata Kasztelan-Szczerbińska, Halina Cichoż-Lach
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引用次数: 0

摘要

急性食管坏死(AEN),又称黑食管或古尔维特综合征,是一种极为罕见的临床综合征。患者通常会出现上消化道大出血的症状,危及生命(70-90% 的病例),本病例报告就是如此。食管胃十二指肠镜检查显示食管粘膜呈弥漫性或斑片状周缘黑色坏死,可确诊为 AEN。该患者有一些并发症,如继发于慢性胰腺炎的控制不佳的糖尿病、高血压、胆囊切除术后、嗜烟酗酒,以及因胃灼热每天三次服用一小勺小苏打达数月之久。尽管 AEN 的预后很差,死亡率约为 32%-35%,但大多数患者在 7 天到 1 个月的短时间内就会出现内镜下的好转。幸运的是,患者在 AEN 的治疗过程中没有出现任何并发症,治疗效果良好。
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Into the dark of the black oesophagus.

Acute esophageal necrosis (AEN), known as black oesophagus or Gurvit's syndrome, is an extremely rare clinical syndrome. Patients usually present with life-threatening symptoms of upper gastrointestinal haemorrhage (70-90% of cases), as in this case report. Diagnosis of AEN is confirmed based on oesophagogastroduodenoscopy which reveals diffuse or patchy circumferential black necrotic oesophageal mucosa. The presented patient had some comorbidities, such as poorly controlled diabetes mellitus, secondary to chronic pancreatitis, hypertension, after cholecystectomy, addiction to alcohol and tobacco, and taking a small spoon of baking soda three times a day for a few months because of heartburn. Despite the poor prognosis of AEN, with mortality about 32-35%, most patients present with endoscopic improvement in short time - from 7 days to 1 month. Fortunately, the patient did not to have any complications in the course of AEN, and the treatment was effective.

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来源期刊
Annals of Agricultural and Environmental Medicine
Annals of Agricultural and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.00
自引率
5.90%
发文量
58
审稿时长
4-8 weeks
期刊介绍: All papers within the scope indicated by the following sections of the journal may be submitted: Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases). Health effects of chemical pollutants in agricultural areas , including occupational and non-occupational effects of agricultural chemicals (pesticides, fertilizers) and effects of industrial disposal (heavy metals, sulphur, etc.) contaminating the atmosphere, soil and water. Exposure to physical hazards associated with the use of machinery in agriculture and forestry: noise, vibration, dust. Prevention of occupational diseases in agriculture, forestry, food industry and wood industry. Work-related accidents and injuries in agriculture, forestry, food industry and wood industry: incidence, causes, social aspects and prevention. State of the health of rural communities depending on various factors: social factors, accessibility of medical care, etc.
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