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Akut ösofageal nekrose ved diabetisk ketoacidose
Engelsk titel: Acute oesophageal necrosis in patients with diabetic ketoacidosis Läs online Författare: Edling, Poul ; Thomsen, Henrik Språk: Dan Antal referenser: 3 Dokumenttyp: Fallbeskrivning UI-nummer: 15067252

Tidskrift

Ugeskrift for Laeger 2015;177(8)768-9 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Acute oesophageal necrosis is a rarely seen phenomenon, occurring in situations with ischaemic insult in combination with gastric outlet obstruction or gastro-oesophageal reflux. The hallmark is circumferential necrosis of the oesophageal mucosa and it is associated with a high mortality. Two patients presented with haematemesis. They were admitted to hospital in a state of diabetic ketoacidosis. Endoscopy revealed acute oesophageal necrosis. They were stabilized and treated with high-dose proton pump inhibitors. Both patients recovered and were discharged without sequelae.