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.
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。