[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-31572":3,"doc-seo-31572":26},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"file_id":15,"file_url":16,"file_type":17,"file_size":18,"view_count":4,"is_deleted":4,"is_public":19,"is_downloadable":19,"audit_status":19,"page_count":19,"language":20,"language_code":21,"table_of_contents":22,"faqs":23,"seo_title":13,"seo_description":14,"update_tm":24,"read_time":25},31572,137441390410,"Hazel","https://ap-avatar.wpscdn.com/avatar/2000252f4ab5702993?_k=1776741390130283984",7,"Healthcare","Acute Esophageal Necrosis Images in Clinical Medicine","An emergency department presentation describes acute esophageal necrosis (“black esophagus”) in a 51-year-old man with coffee-ground emesis and dysphagia. Upper endoscopy shows circumferential, diffuse black discoloration and friability from the midesophagus to the gastroesophageal junction. The condition is attributed to ischemic injury of the distal esophagus driven by vascular disease, hypoperfusion, and excessive gastric reflux. Management includes intravenous proton-pump inhibition and bowel rest with parenteral nutrition, followed by endoscopic reepithelialization one week later.","cbCaiaSrw2cGBtLH","https://ap.wps.com/l/cbCaiaSrw2cGBtLH","pdf",602076,1,"English","en","# Clinical Presentation\n## Endoscopic Findings\n# Diagnosis and Pathogenesis\n# Treatment and Follow-up","[{\"question\":\"What symptoms led to the emergency presentation?\",\"answer\":\"A 51-year-old man presented with a 2-hour history of coffee-ground emesis and difficulty swallowing.\"},{\"question\":\"What did upper endoscopy show in acute esophageal necrosis?\",\"answer\":\"Endoscopy revealed circumferential, diffuse black discoloration and friability of the mucosa from the midesophagus to an abrupt cutoff at the gastroesophageal junction.\"},{\"question\":\"How was the condition treated and what was the outcome after one week?\",\"answer\":\"Treatment used an intravenous proton-pump inhibitor and bowel rest with parenteral nutrition. One week later, repeat endoscopy showed reepithelialization with residual superficial ulcerations.\"}]",1779742883,3,{"code":4,"msg":27,"data":28},"ok",{"site_id":29,"language":21,"slug":30,"title":13,"keywords":31,"description":14,"schema_data":32,"social_meta":82,"head_meta":84,"extra_data":86,"updated_unix":24},105,"acute-esophageal-necrosis-images-in-clinical-medicine","",{"@graph":33,"@context":81},[34,50,64],{"@type":35,"itemListElement":36},"BreadcrumbList",[37,41,45,47],{"item":38,"name":39,"@type":40,"position":19},"https://docshare.wps.com","Home","ListItem",{"item":42,"name":43,"@type":40,"position":44},"https://docshare.wps.com/document/","Document",2,{"item":46,"name":12,"@type":40,"position":25},"https://docshare.wps.com/document/healthcare/",{"item":48,"name":13,"@type":40,"position":49},"https://docshare.wps.com/document/acute-esophageal-necrosis-images-in-clinical-medicine/31572/",4,{"url":48,"name":13,"@type":51,"author":52,"headline":13,"publisher":54,"fileFormat":57,"description":14,"dateModified":58,"datePublished":58,"encodingFormat":57,"isAccessibleForFree":59,"interactionStatistic":60},"DigitalDocument",{"name":9,"@type":53},"Person",{"url":38,"name":55,"@type":56},"DocShare","Organization","application/pdf","2026-05-25",true,{"@type":61,"interactionType":62,"userInteractionCount":4},"InteractionCounter",{"@type":63},"ViewAction",{"@type":65,"mainEntity":66},"FAQPage",[67,73,77],{"name":68,"@type":69,"acceptedAnswer":70},"What symptoms led to the emergency presentation?","Question",{"text":71,"@type":72},"A 51-year-old man presented with a 2-hour history of coffee-ground emesis and difficulty swallowing.","Answer",{"name":74,"@type":69,"acceptedAnswer":75},"What did upper endoscopy show in acute esophageal necrosis?",{"text":76,"@type":72},"Endoscopy revealed circumferential, diffuse black discoloration and friability of the mucosa from the midesophagus to an abrupt cutoff at the gastroesophageal junction.",{"name":78,"@type":69,"acceptedAnswer":79},"How was the condition treated and what was the outcome after one week?",{"text":80,"@type":72},"Treatment used an intravenous proton-pump inhibitor and bowel rest with parenteral nutrition. One week later, repeat endoscopy showed reepithelialization with residual superficial ulcerations.","https://schema.org",{"og:url":48,"og:type":83,"og:title":13,"og:site_name":55,"og:description":14},"article",{"robots":85,"canonical":48},"index,follow",{"doc_id":7,"site_id":29}]