Acute Esophageal Necrosis (AEN) can evolve through a number of stages.
Clinical Status
Stage
Endoscopic Appearance
prenecrotic mucosa, viable but at risk
0
mucosa normal
acute necrosis
1
circumferential, black mucosa with yellowish exudates and increased friability, loss of light reflex, somewhat rigid
healing phase
2
black mucosa with whitish exudates; necrotic debris overlying pinkish mucosa
recovered
3
mucosa normal, may show some granulation tissue
A case could be further classified by the presence or absence of complications:
(1) stricture and/or stenosis
(2) perforation with or without mediastinitis
(3) superinfection
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Specialty: Gastroenterology, Surgery, general, Cardiology
