Evidence map›Paper›PMID 39130119›Full record

ArticleGastro hep advances2023

A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae.

Lekha Yadukumar, Hunain Aslam, Khalid Ahmed, Peter Iskander, Khadijah Sajid, Omar Syed, Mark M Aloysius, Simin Nasr, Vikas Khurana

Abstract readCase Reports
In one paragraph

Article in Gastro hep advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Lekha YadukumarInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.
Hunain AslamInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.
Khalid AhmedInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.
Peter IskanderInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.
Khadijah SajidInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.
Omar SyedInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.
Mark M AloysiusInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.
Simin NasrFamily Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.
Vikas KhuranaGastroenterology, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute esophageal necrosis is a rare condition; visualization of necrosis on esophagoduodenoscopy can help establish the diagnosis. Due to variations in blood supply, there is a higher propensity for ischemic episodes to occur along the lower esophagus; these can be of particular importance during times of hypotension. Underlying infections and atherosclerosis can further exacerbate blood supply leading to ischemia in these watershed zones. We present a case of a patient with Klebsiella pneumonia who was found to have "coffee-ground" output on nasogastric tube suctioning. Esophagoduodenoscopy was performed, which showed evidence of circumferential esophageal necrosis. Unfortunately, despite antibiotic and vasopressor support, the patient ultimately passed away.

Indexed as

Acute Esophageal NecrosisCoffee-ground vomitusEsophagoduodenoscopyGastrointestinal BleedKlebsiella Pneumonia

Identifiers

PMID39130119
PMCPMC11308061

What OpenQuestion holds

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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.