Korean J Hepatol > Volume 12(2); 2008 > Article
The Korean Journal of Hepatology 2008;12(2): 133-135.
Black Esophagus Associated with Alcohol Abuse
Jae Won Hong , Seung Up Kim , Ha Na Park , Ju Hee Seo , Yong Chan Lee , Ho Guen Kim
ABSTRACT
Black esophagus is a rare condition of the esophagus that manifests as endoscopic findings of black-colored esophageal mucosa, which is usually caused by acute esophageal necrosis. We report a case of alcoholic patient who developed black esophagus. The 85-yearold man was admitted to Severance Hospital due to copious hematemesis over 2 days. Upper gastrointestinal endoscopy showed black-colored mucosa in the distal esophagus. Endoscopic biopsies of the esophagus revealed necrotic tissue, without any viable cells. Follow-up upper gastrointestinal endoscopy performed after supportive care with a proton-pump inhibitor, sucralfate, and total parenteral nutrition resulted in the remarkable healing of the esophageal wall with no complications.
KeyWords: Black esophagus, Necrosis, Alcohol abuse
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