Premium
TWELVE CASES OF ACUTE ESOPHAGEAL MUCOSAL LESION
Author(s) -
Tsumura Takehiko,
Maruo Takanori,
Tsuji Kentaro,
Osaki Yukio,
Tomono Naomi
Publication year - 2006
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.0915-5635.2006.00608.x
Subject(s) - medicine , esophagitis , lesion , gastroenterology , esophagus , endoscopy , reflux esophagitis , upper gastrointestinal bleeding , surgery , disease , reflux
Background and Aims: The incidence of erosive esophagitis in emergent endoscopy for upper gastrointestinal bleeding is not rare but the clinical and endoscopic findings have not been fully investigated. The aim of the present study was to clarify features of acute esophagitis cases showing acute onset and severe endoscopic findings. Methods: We defined severe esophagitis that endoscopically showed circumferential diffuse mucosal lesion involving at least the entire lower third of the esophagus as acute esophageal mucosal lesion and investigated the clinical and endoscopic characteristics. Results: We experienced six cases of black or dark esophagitis and six cases of non‐black esophagitis. Both groups showed common clinical features. Patients were predominantly males older than middle age. The presenting symptoms were upper gastrointestinal bleeding such as coffee‐ground‐like vomit, hematemesis or tarry stool. Seven cases had a history of taking non‐steroidal anti‐inflammatory drugs. Endoscopically, both types of case showed diffuse circumferential erosion in the lower esophagus, which continuously extended, and worsened towards the esophagogastric junction. All had esophageal sliding hernia and five cases had duodenal mucosal lesion. All cases rapidly improved with a proton pump inhibitor except one case. Conclusion: Black and non‐black esophagitis was considered to belong to the same disease entity, acute esophageal mucosal lesion, which should be recognized as a differential diagnosis on emergency endoscopy for upper gastrointestinal bleeding.