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

消化管内科

研究成果: Contribution to journal › Review article › 査読

抄録

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.

本文言語	英語
ページ（範囲）	1482-1486
ページ数	5
ジャーナル	GASTROENTEROLOGICAL ENDOSCOPY
巻	59
号	7
出版ステータス	出版済み - 7 2017

All Science Journal Classification (ASJC) codes

Radiology Nuclear Medicine and imaging
Gastroenterology

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引用スタイル

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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",

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journal = "Gastroenterological Endoscopy",

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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

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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.

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