Black Esophagus Associated with Alcohol Abuse.
- Author:
Jae Won HONG
1
;
Seung Up KIM
;
Ha Na PARK
;
Ju Hee SEO
;
Yong Chan LEE
;
Hoguen KIM
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. leeyc@yuhs.ac
- Publication Type:Case Report
- Keywords:
Black esophagus;
Necrosis;
Alcohol abuse
- MeSH:
Aged, 80 and over;
Alcoholics;
Alcoholism;
Biopsy;
Endoscopy, Gastrointestinal;
Esophagus;
Follow-Up Studies;
Hematemesis;
Humans;
Mucous Membrane;
Necrosis;
Parenteral Nutrition, Total;
Sucralfate
- From:Gut and Liver
2008;2(2):133-135
- CountryRepublic of Korea
- Language:English
-
Abstract:
Black esophagus is a rare condition of the esophagus that manifests as endoscopic findings of black-colored esophageal mucosa, which is usually caused by acute esophageal necrosis. We report a case of alcoholic patient who developed black esophagus. The 85-year-old man was admitted to Severance Hospital due to copious hematemesis over 2 days. Upper gastrointestinal endoscopy showed black-colored mucosa in the distal esophagus. Endoscopic biopsies of the esophagus revealed necrotic tissue, without any viable cells. Follow-up upper gastrointestinal endoscopy performed after supportive care with a proton-pump inhibitor, sucralfate, and total parenteral nutrition resulted in the remarkable healing of the esophageal wall with no complications.