2017 Volume 90 Issue 1 Pages 46-50
Background : The clinical features of acute esophageal mucosal lesion (AEML) have not been fully investigated because of its relative rarity, and almost all cases recover rapidly according to endoscopic findings. This study aimed to clarify the clinical features of AEML.
Methods : AEML was diagnosed in 13 cases who were admitted to our hospital between January 2008 and April 2016. We investigated clinical features and endoscopic findings. Six black esophagitis cases were compared with 7 non-black esophagitis cases.
Result : Various comorbidities had been found in AEML cases, the most common being malignancy. Six cases (46%) used PPI (proton pump inhibitor) before AEML attack. Eleven cases rapidly improved, but 2 died. In the black esophagitis group, there were significantly more smokers than in the non-black group. The 2 dead cases had black esophagitis.
Conclusion : There are several participating factors in the onset of AEML. Our findings suggest that smoking might be a risk factor for AEML, and it was difficult to prevent AEML with PPI. Further, black esophagitis may represent more severe underlying conditions.
