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坏死性食管炎:挤压所致?

Necrotizing Esophagitis: A Big Squeeze?

作者信息

Rakovich George, Rolland Sébastien

机构信息

Section for Thoracic Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, Montreal, Quebec, Canada.

Section of Gastro-Enterology, Maisonneuve-Rosemont Hospital, University of Montreal, Montreal, Quebec, Canada.

出版信息

J Can Assoc Gastroenterol. 2021 Mar 18;5(3):103-104. doi: 10.1093/jcag/gwab005. eCollection 2022 Jun.

DOI:10.1093/jcag/gwab005
PMID:35669841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9157301/
Abstract

Necrotizing esophagitis is rare and poorly understood. The etiologies reported in what little has been published (i.e., gastroesophageal reflux exacerbated by gastric outlet obstruction and low-flow ischemia) seem somewhat simplistic and lack any direct evidence. The following paper illustrates a recent clinical case while laying out arguments supporting esophageal spasm as a possible contributing factor.

摘要

坏死性食管炎较为罕见,人们对其了解甚少。在已发表的少量文献中所报道的病因(即胃出口梗阻和低流量缺血加重的胃食管反流)似乎有些过于简单,且缺乏任何直接证据。以下论文阐述了一个近期的临床病例,同时列出了支持食管痉挛可能是一个促成因素的论据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f15/9157301/8a2a9126d067/gwab005_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f15/9157301/86f9cbdd9efa/gwab005_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f15/9157301/8a2a9126d067/gwab005_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f15/9157301/86f9cbdd9efa/gwab005_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f15/9157301/8a2a9126d067/gwab005_fig2.jpg

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1
Necrotizing Esophagitis: A Big Squeeze?坏死性食管炎:挤压所致?
J Can Assoc Gastroenterol. 2021 Mar 18;5(3):103-104. doi: 10.1093/jcag/gwab005. eCollection 2022 Jun.
2
[Case of acute necrotizing esophagitis associated with AA amyloidosis secondary to bronchiectasis].[支气管扩张继发AA型淀粉样变性伴急性坏死性食管炎病例]
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J Physiol Pharmacol. 2014 Dec;65(6):809-22.
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Gastric acidity and gastroesophageal reflux patterns in patients with esophagitis.食管炎患者的胃酸度和胃食管反流模式
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Characterization of acid and alkaline reflux in patients with Barrett's esophagus. G.O.S.P.E. Operative Group for the study of Esophageal Precancer.巴雷特食管患者的酸反流和碱反流特征。G.O.S.P.E. 食管癌前病变研究手术组。
Dis Esophagus. 1997 Jan;10(1):16-22; discussion 22-3.

引用本文的文献

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Acute esophageal necrosis in the post-operative period: a narrative review of presentation, management, and outcomes.术后急性食管坏死:关于临床表现、治疗及预后的叙述性综述
J Thorac Dis. 2024 Oct 31;16(10):7123-7131. doi: 10.21037/jtd-22-1763. Epub 2024 Oct 30.

本文引用的文献

1
Black esophagus: a case series and literature review of acute esophageal necrosis.黑色食管:急性食管坏死的病例系列及文献综述
Scand J Gastroenterol. 2018 Oct-Nov;53(10-11):1421-1424. doi: 10.1080/00365521.2018.1513064. Epub 2018 Oct 24.
2
Acute oesophageal necrosis: a rare but potentially fatal association of cocaine use.急性食管坏死:一种与使用可卡因相关的罕见但可能致命的情况。
BMJ Case Rep. 2018 Jul 19;2018:bcr-2018-225197. doi: 10.1136/bcr-2018-225197.
3
Rethinking cocaine-associated chest pain and acute coronary syndromes.
重新思考可卡因相关性胸痛与急性冠脉综合征。
Mayo Clin Proc. 2011 Dec;86(12):1198-207. doi: 10.4065/mcp.2011.0338.
4
Effect of esophageal contraction on esophageal wall blood perfusion.食管收缩对食管壁血液灌注的影响。
Am J Physiol Gastrointest Liver Physiol. 2011 Dec;301(6):G1093-8. doi: 10.1152/ajpgi.00293.2011. Epub 2011 Sep 8.