A CASE of UPSIDE-DOWN STOMACH ACCOMPANIED by ACUTE NECROTIZING ESOPHAGITIS

Takahiro Kai; Kazuoki Hizawa; Yutaro Ihara; Kouhei Fujita; Masahiro Iida; Ema Washio; Motohiro Esaki; Mitsuo Iida

A CASE of UPSIDE-DOWN STOMACH ACCOMPANIED by ACUTE NECROTIZING ESOPHAGITIS

Takahiro Kai, Kazuoki Hizawa, Yutaro Ihara, Kouhei Fujita, Masahiro Iida, Ema Washio, Motohiro Esaki, Mitsuo Iida

Department of Gastroenterology

Research output: Contribution to journal › Review article › peer-review

Abstract

An 83-year-old woman was taken to our hospital by ambulance because of hematemesis. Laboratory examination revealed high blood levels of lactate (35mg/dL), creatinine (2.1mg/dL) and glucose (249mg/dL). Thoracoabdominal CT scans showed a large esophageal hernia, presenting with upside-down stomach and mesenteroaxial volvulus. Urgent endoscopy revealed diffuse black mucosa in the middle and lower esophagus, so-called black esophagus. The abnormal rotation returned to normal by performing the stretching method with a duodenoscope. On the following day, the esophageal lesion was remarkably improved. When encountering a case of upside-down stomach with acute necrotizing esophagitis, endoscopic de-rotation should be immediately considered.

Original language	English
Pages (from-to)	1482-1486
Number of pages	5
Journal	GASTROENTEROLOGICAL ENDOSCOPY
Volume	59
Issue number	7
Publication status	Published - Jul 2017

All Science Journal Classification (ASJC) codes

Radiology Nuclear Medicine and imaging
Gastroenterology

Cite this

@article{e980e307cd704985b15c476fcadf87f1,

title = "A CASE of UPSIDE-DOWN STOMACH ACCOMPANIED by ACUTE NECROTIZING ESOPHAGITIS",

abstract = "An 83-year-old woman was taken to our hospital by ambulance because of hematemesis. Laboratory examination revealed high blood levels of lactate (35mg/dL), creatinine (2.1mg/dL) and glucose (249mg/dL). Thoracoabdominal CT scans showed a large esophageal hernia, presenting with upside-down stomach and mesenteroaxial volvulus. Urgent endoscopy revealed diffuse black mucosa in the middle and lower esophagus, so-called black esophagus. The abnormal rotation returned to normal by performing the stretching method with a duodenoscope. On the following day, the esophageal lesion was remarkably improved. When encountering a case of upside-down stomach with acute necrotizing esophagitis, endoscopic de-rotation should be immediately considered.",

author = "Takahiro Kai and Kazuoki Hizawa and Yutaro Ihara and Kouhei Fujita and Masahiro Iida and Ema Washio and Motohiro Esaki and Mitsuo Iida",

year = "2017",

month = jul,

language = "English",

volume = "59",

pages = "1482--1486",

journal = "Gastroenterological Endoscopy",

issn = "0387-1207",

publisher = "Japan Gastroenterological Endoscopy Society",

number = "7",

}

TY - JOUR

T1 - A CASE of UPSIDE-DOWN STOMACH ACCOMPANIED by ACUTE NECROTIZING ESOPHAGITIS

AU - Kai, Takahiro

AU - Hizawa, Kazuoki

AU - Ihara, Yutaro

AU - Fujita, Kouhei

AU - Iida, Masahiro

AU - Washio, Ema

AU - Esaki, Motohiro

AU - Iida, Mitsuo

PY - 2017/7

Y1 - 2017/7

N2 - An 83-year-old woman was taken to our hospital by ambulance because of hematemesis. Laboratory examination revealed high blood levels of lactate (35mg/dL), creatinine (2.1mg/dL) and glucose (249mg/dL). Thoracoabdominal CT scans showed a large esophageal hernia, presenting with upside-down stomach and mesenteroaxial volvulus. Urgent endoscopy revealed diffuse black mucosa in the middle and lower esophagus, so-called black esophagus. The abnormal rotation returned to normal by performing the stretching method with a duodenoscope. On the following day, the esophageal lesion was remarkably improved. When encountering a case of upside-down stomach with acute necrotizing esophagitis, endoscopic de-rotation should be immediately considered.

AB - An 83-year-old woman was taken to our hospital by ambulance because of hematemesis. Laboratory examination revealed high blood levels of lactate (35mg/dL), creatinine (2.1mg/dL) and glucose (249mg/dL). Thoracoabdominal CT scans showed a large esophageal hernia, presenting with upside-down stomach and mesenteroaxial volvulus. Urgent endoscopy revealed diffuse black mucosa in the middle and lower esophagus, so-called black esophagus. The abnormal rotation returned to normal by performing the stretching method with a duodenoscope. On the following day, the esophageal lesion was remarkably improved. When encountering a case of upside-down stomach with acute necrotizing esophagitis, endoscopic de-rotation should be immediately considered.

UR - http://www.scopus.com/inward/record.url?scp=85025067909&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85025067909&partnerID=8YFLogxK

M3 - Review article

AN - SCOPUS:85025067909

SN - 0387-1207

VL - 59

SP - 1482

EP - 1486

JO - Gastroenterological Endoscopy

JF - Gastroenterological Endoscopy

IS - 7

ER -

A CASE of UPSIDE-DOWN STOMACH ACCOMPANIED by ACUTE NECROTIZING ESOPHAGITIS

Abstract

All Science Journal Classification (ASJC) codes

Other files and links

Fingerprint

Cite this