Gut Liver.  2008 Sep;2(2):133-135.

Black Esophagus Associated with Alcohol Abuse

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. leeyc@yuhs.ac
  • 2Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

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-year-old 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.

Keyword

Black esophagus; Necrosis; Alcohol abuse

MeSH Terms

Aged, 80 and over
Alcoholics
Alcoholism
Biopsy
Endoscopy, Gastrointestinal
Esophagus
Follow-Up Studies
Hematemesis
Humans
Mucous Membrane
Necrosis
Parenteral Nutrition, Total
Sucralfate
Sucralfate
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