Practical Review: Gurvits Syndrome

Black Esophagus or Acute Esophageal Necrosis

_{Klaus Mönkemüller, MD, PhD, FASGE, FJGES} 

_{Professor of Medicine}

_{Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA} 

_{Vivek Kesar, MD}

_{Assistant Professor, Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA} 

Figure 1. Acute esophageal necrosis. This patient had ischemia due to massive vasoconstriction due to epinephrine use to resuscitate the patient after a heart attack with cardiogenic shock. Panel C also shows ulcers and necrosis of the duodenum.