Abstract：
Acute esophageal necrosis (AEN) in the setting of gastric volvulus is a rare condition with only a handful of cases reported. Volvulus may contribute to AEN by limiting tissue perfusion and promoting massive reflux of gastric contents on compromised esophageal mucosa.
We reviewed 225 original articles, literature reviews, case series, brief reports, case reports, and discuss six total cases of co-occurring esophageal necrosis and gastric volvulus.
We present the first comprehensive analysis of all reported cases in the literature to date and formulate management strategies for the co-occurrence of AEN and volvulus. Management of AEN should be directed at correcting underlying medical conditions, providing hemodynamic support, initiating nil-per-os restriction, and administering high-dose proton pump inhibitor therapy. Surgical intervention is typically reserved for cases of esophageal perforation with mediastinitis and abscess formation.
We reviewed 225 original articles, literature reviews, case series, brief reports, case reports, and discuss six total cases of co-occurring esophageal necrosis and gastric volvulus.
We present the first comprehensive analysis of all reported cases in the literature to date and formulate management strategies for the co-occurrence of AEN and volvulus. Management of AEN should be directed at correcting underlying medical conditions, providing hemodynamic support, initiating nil-per-os restriction, and administering high-dose proton pump inhibitor therapy. Surgical intervention is typically reserved for cases of esophageal perforation with mediastinitis and abscess formation.
摘要：
目的：胃扭转急性食管坏死（AEN）是一种罕见的疾病，仅报道了少数病例。扭转可能通过限制组织灌注和促进食管粘膜受损的胃内容物的大量回流来促进AEN。
方法：我们审阅了225篇原创文章，文献综述，案例系列,简短的报告，病例报告,并讨论了共发生食管坏死和胃扭转的6例。
结论：我们对迄今为止所有文献报道的病例进行了首次综合分析，并制定了AEN和肠扭转的治疗策略。AEN的管理应针对纠正潜在的医疗条件，提供血液动力学支持，启动nil-per-os限制，并给予大剂量质子泵抑制剂治疗。手术干预通常适用于食管穿孔伴纵隔炎和脓肿形成的病例。
方法：我们审阅了225篇原创文章，文献综述，案例系列,简短的报告，病例报告,并讨论了共发生食管坏死和胃扭转的6例。
结论：我们对迄今为止所有文献报道的病例进行了首次综合分析，并制定了AEN和肠扭转的治疗策略。AEN的管理应针对纠正潜在的医疗条件，提供血液动力学支持，启动nil-per-os限制，并给予大剂量质子泵抑制剂治疗。手术干预通常适用于食管穿孔伴纵隔炎和脓肿形成的病例。
