Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California.
Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California.
Ann Thorac Surg. 2014 Jul;98(1):341-2. doi: 10.1016/j.athoracsur.2013.09.023.
Acute esophageal necrosis (AEN) is a rare condition characterized by circumferential necrosis of varying lengths in the intrathoracic esophagus. Endoscopically, this process is manifested as a black esophagus. To date, limited case series exist describing AEN, and none report long-term follow-up. Our objective was to report 3 patients with AEN, all diagnosed within 1 year at a tertiary academic medical center, describing early and long-term outcomes of this rare disease. In the absence of perforation, patients can be managed conservatively with serial esophagogastroduodenoscopy (EGD). Long-term strictures may occur that require dilation.
急性食管坏死（AEN）是一种罕见的疾病，其特征是胸腔内食管的不同长度的环状坏死。在内镜下，这个过程表现为黑色食管。迄今为止，已有有限的病例系列描述了 AEN，且没有报告长期随访结果。我们的目的是报告 3 例 AEN 患者，均在一家三级学术医疗中心于 1 年内确诊，描述这种罕见疾病的早期和长期结果。在没有穿孔的情况下，患者可以通过多次食管胃十二指肠镜检查（EGD）进行保守治疗。可能会出现长期狭窄，需要进行扩张。
