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Comprehensive Review: Acute Esophageal Necrosis in the Setting of Gastric Volvulus

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Abstract

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.

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Funding

No funding supported study design and conduct; in the collection, management, analysis, and interpretation of data; in the preparation, review, or approval of the report; or in the decision to submit the article for publication.

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Authors and Affiliations

  1. Department of Medicine, New York University Langone Medical Center, 247 E 28Th Street, New York, NY, 10016, USA

    Moniyka Sachar

  2. Division of Gastroenterology, Brown University, Providence, RI, USA

    Erick Arguetta

  3. Division of Gastroenterology, New York University Langone Medical Center, New York, NY, USA

    Grigoriy E. Gurvits

Authors
  1. Moniyka Sachar
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  2. Erick Arguetta
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  3. Grigoriy E. Gurvits
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Contributions

M.S.: Participated in writing and drafting of the manuscript. E.A.: Participated in the data acquisition and drafting of the manuscript. G.E.G.: Participated in editing of the manuscript and study supervision.

Corresponding author

Correspondence to Moniyka Sachar.

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Sachar, M., Arguetta, E. & Gurvits, G.E. Comprehensive Review: Acute Esophageal Necrosis in the Setting of Gastric Volvulus. Dig Dis Sci 68, 1672–1676 (2023). https://doi.org/10.1007/s10620-023-07869-6

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  • DOI: https://doi.org/10.1007/s10620-023-07869-6

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