ArticleCase reports in gastrointestinal medicine2018
Black Esophagus: A Rare Case of Acute Esophageal Necrosis Induced by Diabetic Ketoacidosis in a Young Adult Female.
Article in Case reports in gastrointestinal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Acute esophageal necrosis in patients with diabetic ketoacidosis: a systematic review of clinical features and outcomes.Clinical journal of gastroenterology · 2026Pooled it
- A Case of Black Esophagus in a Patient Presenting With Dyspnea.The Korean journal of helicobacter and upper gastrointestinal research · 2025Article
- Acute Esophageal Necrosis (Gurvits Syndrome): A Rare Cause of Upper Gastrointestinal Bleeding in Somalia.International medical case reports journal · 2025Article
- "Black Esophagus" or Gurvits Syndrome: A Rare Cause of Upper Gastrointestinal Bleeding in Diabetic Ketoacidosis.Cureus · 2023Article
- Gurvits syndrome: a case of acute esophageal necrosis associated with diabetic ketoacidosis.BMC gastroenterology · 2022Article
- Acute Esophageal Necrosis: An In-depth Review of Pathogenesis, Diagnosis and Management.Journal of community hospital internal medicine perspectives · 2022Review
- Article
- Acute esophageal necrosis as a complication of diabetic ketoacidosis: A case report.World journal of clinical cases · 2021Article
- Epidemiology, Pathogenesis, and Clinical Manifestations of Acute Esophageal Necrosis in Adults.Cureus · 2021Review
- Acute Esophageal Necrosis (Gurvits Syndrome): A Rare Complication of Diabetic Ketoacidosis in a Critically Ill Patient.Case reports in medicine · 2020Article
- Diagnosis and management of acute esophageal necrosis.Annals of gastroenterologyReview
- Black Esophagus in the Setting of Diabetic Ketoacidosis: A Rare Finding from Our Institution.Case reports in gastroenterologyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute esophageal necrosis is an uncommon clinical disorder diagnosed on endoscopy as a black esophagus. It has a multifactorial etiology that probably represents a combination of poor nutritional status, gastric outlet obstruction, and ischemia secondary to hypoperfusion of the distal esophagus. It typically occurs in older males with comorbidities. CASE: A 37-year-old woman presented with diabetic ketoacidosis and hematemesis. At esophagogastroduodenoscopy acute esophageal necrosis was diagnosed. The treatment included fluid and electrolyte management, insulin, and a proton pump inhibitor. She improved and left the hospital on day 3.
conclusionDiabetic ketoacidosis can result in a profound osmotic diuresis, fluid loss, and hypoperfusion of the distal esophagus. This condition can then lead to ischemic injury and acute esophageal necrosis. Awareness of the possibility of its presence in young women with hematemesis and poorly controlled diabetes is important since early identification with esophagogastroduodenoscopy is necessary to prevent serious postnecrotic complications.
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Registered trials
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