التفاصيل البيبلوغرافية
| العنوان: |
Comprehensive Review: Acute Esophageal Necrosis in the Setting of Gastric Volvulus. |
| المؤلفون: |
Sachar, Moniyka, Arguetta, Erick, Gurvits, Grigoriy E. |
| المصدر: |
Digestive Diseases & Sciences; May2023, Vol. 68 Issue 5, p1672-1676, 5p |
| مصطلحات موضوعية: |
VOLVULUS, NECROSIS, ESOPHAGEAL perforation, PROTON pump inhibitors |
| مستخلص: |
Background and Aims: Acute esophageal necrosis (AEN) in the setting of gastric volvulus is a rare condition with only a handful of cases reported. Volvulus may contribute to AEN by limiting tissue perfusion and promoting massive reflux of gastric contents on compromised esophageal mucosa. Methods: We reviewed 225 original articles, literature reviews, case series, brief reports, case reports, and discuss six total cases of co-occurring esophageal necrosis and gastric volvulus. Results and Conclusions: We present the first comprehensive analysis of all reported cases in the literature to date and formulate management strategies for the co-occurrence of AEN and volvulus. Management of AEN should be directed at correcting underlying medical conditions, providing hemodynamic support, initiating nil-per-os restriction, and administering high-dose proton pump inhibitor therapy. Surgical intervention is typically reserved for cases of esophageal perforation with mediastinitis and abscess formation. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
