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Acute Esophageal Necrosis (Gurvits Syndrome) Presenting as Globus and Altered Phonation.

Publication ,  Journal Article
Deliwala, SS; Bala, A; Haykal, T; Elbedawi, MM; Bachuwa, G; Gurvits, GE
Published in: The American journal of case reports
September 2020

BACKGROUND Acute esophageal necrosis (AEN), also known as black esophagus or Gurvits syndrome, is an infrequently seen clinical condition distinguishable by a visually striking endoscopic appearance of necrotic esophageal mucosa that involves the distal esophagus with proximal extensions ending at the gastroesophageal junction. Since its early recognition pathologically in the 1960s and endoscopically in the 1990s, AEN, despite its rarity, is being increasingly recognized as a demonstratable cause of upper gastrointestinal bleeding. Cases of pan-esophageal necrosis are sparsely reported, leaving management guidance to isolated case reports. CASE REPORT An 80-year-old female smoker with advanced chronic obstructive pulmonary disease presented with signs and symptoms of acute pharyngitis and globus sensation that had been evolving over the preceding weeks. An esophagogastroduodenoscopy revealed circumferential necrotic mucosa encircling the entire lumen of the esophagus. The patient was made nil-per-os and started on high-dose anti-reflux therapy with adequate hemodynamic resuscitation. CONCLUSIONS AEN is multifactorial but primarily a combination of decreased tissue perfusion and a massive influx of gastric contents in settings of impaired local defense barriers. Despite its dramatic presentation, the majority of cases resolve with conservative medical management, foregoing surgical interventions.

Duke Scholars

Published In

The American journal of case reports

DOI

EISSN

1941-5923

ISSN

1941-5923

Publication Date

September 2020

Volume

21

Start / End Page

e926019

Related Subject Headings

  • Phonation
  • Necrosis
  • Humans
  • Globus Sensation
  • Female
  • Esophagus
  • Aged, 80 and over
  • Acute Disease
  • 32 Biomedical and clinical sciences
 

Citation

APA
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MLA
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Deliwala, S. S., Bala, A., Haykal, T., Elbedawi, M. M., Bachuwa, G., & Gurvits, G. E. (2020). Acute Esophageal Necrosis (Gurvits Syndrome) Presenting as Globus and Altered Phonation. The American Journal of Case Reports, 21, e926019. https://doi.org/10.12659/ajcr.926019
Deliwala, Smit S., Areeg Bala, Tarek Haykal, Mamoon M. Elbedawi, Ghassan Bachuwa, and Grigoriy E. Gurvits. “Acute Esophageal Necrosis (Gurvits Syndrome) Presenting as Globus and Altered Phonation.The American Journal of Case Reports 21 (September 2020): e926019. https://doi.org/10.12659/ajcr.926019.
Deliwala SS, Bala A, Haykal T, Elbedawi MM, Bachuwa G, Gurvits GE. Acute Esophageal Necrosis (Gurvits Syndrome) Presenting as Globus and Altered Phonation. The American journal of case reports. 2020 Sep;21:e926019.
Deliwala, Smit S., et al. “Acute Esophageal Necrosis (Gurvits Syndrome) Presenting as Globus and Altered Phonation.The American Journal of Case Reports, vol. 21, Sept. 2020, p. e926019. Epmc, doi:10.12659/ajcr.926019.
Deliwala SS, Bala A, Haykal T, Elbedawi MM, Bachuwa G, Gurvits GE. Acute Esophageal Necrosis (Gurvits Syndrome) Presenting as Globus and Altered Phonation. The American journal of case reports. 2020 Sep;21:e926019.

Published In

The American journal of case reports

DOI

EISSN

1941-5923

ISSN

1941-5923

Publication Date

September 2020

Volume

21

Start / End Page

e926019

Related Subject Headings

  • Phonation
  • Necrosis
  • Humans
  • Globus Sensation
  • Female
  • Esophagus
  • Aged, 80 and over
  • Acute Disease
  • 32 Biomedical and clinical sciences