Obesity Surgery

, Volume 28, Issue 9, pp 2941–2948 | Cite as

“Black Esophagus” and Gastric Volvulus Following Slipped Laparoscopic Adjustable Gastric Band

  • Carolyn Moore
  • Leslie Ray Matthews
  • Omar Danner
  • Assad Taha
  • Aviva Bashan-Gilzenrat
  • Jonathan Nguyen
  • Ed Childs
  • Kahdi UdobiEmail author
Review Article


To review the entity “black esophagus” and sequela of a slipped laparoscopic adjustable band. The patient’s history, physical examination, imaging, and endoscopic findings were reviewed. Detailed review of pathophysiology, presentation, diagnosis, management, and natural history was conducted. “Black esophagus,” also known as acute esophageal necrosis (AEN), is a rare condition resulting in black discoloration of the mid to distal esophagus with less than a hundred reported cases. It has not been previously documented in bariatric surgery or following laparoscopic adjustable gastric banding. The volvulus was reduced at surgery, and the esophageal changes resolved without sequela. “Black esophagus” is an acute, ominous-appearing condition with a spectrum ranging from superficial mucosal disease to transmural involvement with perforation. Fortunately, esophageal resection is rarely required.


Black esophagus Acute esophageal necrosis AEN Gastric volvulus Slipped gastric band Gastrointestinal bleeding Upper endoscopy 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval Statement

For this type of study, formal consent is not required.

Informed Consent Statement

Does not apply.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryMorehouse School of MedicineAtlantaUSA

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