Evidence map›Paper›PMID 30030250›Full record

ArticleBMJ case reports2018

Acute oesophageal necrosis: a rare but potentially fatal association of cocaine use.

Waqas Ullah, Hafez Mohammad Ammar Abdullah, Abdul Rauf, Kaiser Saleem

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Gastrointestinal complications of cocaine use: a narrative literature review.Frontiers in gastroenterology (Lausanne, Switzerland) · 2026
    Review
  3. Article
  4. Necrotizing Esophagitis: A Big Squeeze?Journal of the Canadian Association of Gastroenterology · 2022
    Article
  5. Article
  6. The Black Esophagus.Cureus · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Black esophagus.Autopsy & case reports
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Waqas UllahDepartment of Internal Medicine, Abington Hospital - Jefferson Health, Abington, PA, USA.ORCID http://orcid.org/0000-0002-4850-0309
Hafez Mohammad Ammar AbdullahDepartment of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.ORCID http://orcid.org/0000-0002-8261-6997
Abdul RaufDepartment of Internal Medicine, Khyber Medical College, Peshawar, KPK, Pakistan.
Kaiser SaleemDepartment of Internal Medicine, Griffin Hospital, Derby, Connecticut, USA.
Abington Memorial Hospital · USGriffin Hospital · USKhyber Medical College · PKUniversity of South Dakota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute oesophageal necrosis (AON), also known as 'black oesophagus', is a rare condition characterised by the necrosis of the oesophagus usually involving the distal part. It has been associated with various conditions, and the pathogenesis is thought to involve hypovolaemia combined with decreased function of oesophageal protective mucosal barriers and may be compounded by the effect of gastric secretions on oesophageal mucosa. The hallmark of this condition is characteristic circumferential black discolouration of the distal oesophagus that may extend proximally. We present a case of a man who presented with haematemesis associated with cocaine abuse. Oesophagogastroduodenoscopy confirmed black oesophagus. The patient was managed with intravenous fluids, packed red blood cell transfusions, proton pump inhibitors and sucralfate suspension; however, he failed to recover. We have also reviewed the previous reported cases of AON in association with cocaine use.

Indexed as

Acute DiseaseCocaineCocaine-Related DisordersEsophageal DiseasesEsophagusFatal OutcomeHumansMaleMiddle AgedNecrosisCocaineendoscopygastroenterology

Identifiers

PMID30030250
PMCPMC6058151
OpenAlexW2884005490

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.