AI Article Synopsis
- - Acute esophageal necrosis (AEN), also known as Gurvits syndrome, is a rare and serious condition that involves the death of the esophageal mucosa and is linked to severe health issues like heart attacks and COVID-19.
- - Patients with AEN typically experience symptoms such as nausea, vomiting blood, difficulty swallowing, and black stools, and the condition has a high mortality rate, making early detection and treatment essential.
- - AEN cases, particularly those related to diabetic ketoacidosis (DKA), are often treated conservatively with fluids, proton pump inhibitors, and antibiotics, leading to successful stabilizations for patients in reported cases.
Article Abstract
Acute esophageal necrosis (AEN), also known as Gurvits syndrome, is a rare and potentially life-threatening condition characterized by necrosis of the esophageal mucosa. Acute esophageal necrosis is often associated with critical conditions, such as myocardial infarction, diabetic ketoacidosis (DKA), coronavirus disease 2019 (COVID-19) infection, or post-surgical complications. Patients typically present with nausea, hematemesis, acute dysphagia, and melena. Given its high mortality rate, prompt detection with upper endoscopy and early initiation of treatment are crucial. Most cases of Gurvits syndrome are managed conservatively using intravenous fluids, proton pump inhibitors, and antibiotics. Herein, we present a case series of AEN in the setting of DKA. Both patients received supportive care and were discharged in a stable condition.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304478 | PMC |
| http://dx.doi.org/10.1177/23247096241269864 | DOI Listing |
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