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Acute esophageal necrosis is often associated with critical conditions, such as myocardial infarction, diabetic ketoacidosis (DKA), coronavirus disease 2019 (COVID-19) infection, or post-surgical complications. Patients typically present with nausea, hematemesis, acute dysphagia, and melena. Given its high mortality rate, prompt detection with upper endoscopy and early initiation of treatment are crucial. Most cases of Gurvits syndrome are managed conservatively using intravenous fluids, proton pump inhibitors, and antibiotics. Herein, we present a case series of AEN in the setting of DKA. Both patients received supportive care and were discharged in a stable condition.<\/jats:p>","DOI":"10.1177\/23247096241269864","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T01:20:46Z","timestamp":1722993646000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A View in the Dark: Two Cases of Acute Esophageal Necrosis in the Setting of Diabetic Ketoacidosis"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2772-6085","authenticated-orcid":false,"given":"Lefika","family":"Bathobakae","sequence":"first","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rammy","family":"Bashir","sequence":"additional","affiliation":[{"name":"St. George\u2019s University, Grenada, West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruv","family":"Patel","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"St. George\u2019s University, Grenada, West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Mekheal","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Melki","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yana","family":"Cavanagh","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walid","family":"Baddoura","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,6]]},"reference":[{"key":"bibr1-23247096241269864","doi-asserted-by":"publisher","DOI":"10.23907\/2017.028"},{"key":"bibr2-23247096241269864","doi-asserted-by":"publisher","DOI":"10.1177\/23247096231217852"},{"key":"bibr3-23247096241269864","doi-asserted-by":"publisher","DOI":"10.14309\/crj.0000000000000396"},{"key":"bibr4-23247096241269864","doi-asserted-by":"publisher","DOI":"10.4103\/jpgm.JPGM_635_20"},{"key":"bibr5-23247096241269864","doi-asserted-by":"publisher","DOI":"10.14309\/crj.0000000000000568"},{"key":"bibr6-23247096241269864","doi-asserted-by":"publisher","DOI":"10.20524\/aog.2019.0418"},{"key":"bibr7-23247096241269864","doi-asserted-by":"publisher","DOI":"10.17235\/REED.2019.6154\/2018"},{"key":"bibr8-23247096241269864","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-016-1043-z"},{"key":"bibr9-23247096241269864","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.926019"},{"key":"bibr10-23247096241269864","doi-asserted-by":"publisher","DOI":"10.36518\/2689-0216.1082"},{"key":"bibr11-23247096241269864","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-022-02349-z"},{"key":"bibr12-23247096241269864","doi-asserted-by":"publisher","DOI":"10.55729\/2000-9666.1020"},{"key":"bibr13-23247096241269864","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.928394"},{"key":"bibr14-23247096241269864","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v9.i31.9571"},{"key":"bibr15-23247096241269864","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-023-01448-1"},{"key":"bibr16-23247096241269864","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgast-2020-000466"},{"key":"bibr17-23247096241269864","unstructured":"Richards J, Wei R, Anjum F. 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