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