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
Specialty: Gastroenterology, Surgery, general, Cardiology