The Endoscopy Archives
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High Resolution Images: Acute Necrotizing Oesophagitis
The endoscopic images in this site are mostly quite compressed in order to make the transmissions times as short as possible. Sometimes it is however nice to have high resolution images, for example for publications, text books or lectures. In these "high resolution files" some larger images are displayed.
Just click on any image to get a magnification (and then click "Back" on Your browser). Click here to get back to the index page.
Acute necrotizing oesophagitis is a severe condition rarely seen in elderly most often seriously ill patients. The etiology of this disease is thought to be an ischemic injury and/or a serious infection. The main symptoms are painful swallowing and bleeding, hematemesis. This condition can occur in the postoperative period, in patients with metastatic cancer and it might be associated with some drug treatment. After healing oesophageal strictures are often seen. The oesophageal wall often darkens (which is not clearly seen in these pictures), hence the name "black oesophagus". Lye ingestion, acanthosis nigricans and primary pigmented melanoma are the main differential diagnoses.
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