{"id":"https://openalex.org/W4403720093","doi":"https://doi.org/10.14309/01.ajg.0001049296.92831.16","title":"S4982 A Rare Case of Gastric Necrosis Post-Cardiac Arrest","display_name":"S4982 A Rare Case of Gastric Necrosis Post-Cardiac Arrest","publication_year":2024,"publication_date":"2024-10-01","ids":{"openalex":"https://openalex.org/W4403720093","doi":"https://doi.org/10.14309/01.ajg.0001049296.92831.16"},"language":"en","primary_location":{"id":"doi:10.14309/01.ajg.0001049296.92831.16","doi":"https://doi.org/10.14309/01.ajg.0001049296.92831.16","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001049296.92831.16","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093092901","display_name":"Porsha Okiye","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087454","display_name":"Augusta University Health","ror":"https://ror.org/007rawr89","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087454"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Porsha Okiye","raw_affiliation_strings":["Augusta University Medical Center, Augusta, GA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Augusta University Medical Center, Augusta, GA;","institution_ids":["https://openalex.org/I4210087454"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075124299","display_name":"Amit R. Hudgi","orcid":"https://orcid.org/0000-0002-3062-7694","observed_orcids":["https://orcid.org/0000-0002-3062-7694"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amit Hudgi","raw_affiliation_strings":["Augusta University, Augusta, GA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Augusta University, Augusta, GA;","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057500644","display_name":"Amol Sharma","orcid":"https://orcid.org/0000-0002-5843-1220","observed_orcids":["https://orcid.org/0000-0002-5843-1220"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amol Sharma","raw_affiliation_strings":["Medical College of Georgia at Augusta University, Augusta, GA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical College of Georgia at Augusta University, Augusta, GA","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5112574288","display_name":"Anam Herekar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anam Herekar","raw_affiliation_strings":["Augusta University, Augusta, GA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Augusta University, Augusta, GA;","institution_ids":["https://openalex.org/I25041050"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5093092901"],"corresponding_institution_ids":["https://openalex.org/I4210087454"],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"119","issue":"10S","first_page":"S3135","last_page":"S3136"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.6137999892234802,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.6137999892234802,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10645","display_name":"Cardiac Arrest and Resuscitation","score":0.28130000829696655,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.07109999656677246,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/gastric-necrosis","display_name":"gastric necrosis","score":0.9789999723434448},{"id":"https://openalex.org/keywords/cardiac-arrest","display_name":"cardiac arrest","score":0.8119999766349792},{"id":"https://openalex.org/keywords/cardiopulmonary-resuscitation","display_name":"cardiopulmonary resuscitation","score":0.9169999957084656},{"id":"https://openalex.org/keywords/gastrointestinal-ischemia","display_name":"gastrointestinal ischemia","score":0.7429999709129333},{"id":"https://openalex.org/keywords/esophageal-necrosis","display_name":"esophageal necrosis","score":0.734000027179718},{"id":"https://openalex.org/keywords/hypoperfusion","display_name":"hypoperfusion","score":0.48399999737739563},{"id":"https://openalex.org/keywords/epinephrine","display_name":"epinephrine","score":0.33399999141693115},{"id":"https://openalex.org/keywords/coronary-artery-disease","display_name":"coronary artery disease","score":0.6480000019073486},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":0.9829999804496765},{"id":"https://openalex.org/keywords/upper-gastrointestinal-bleeding","display_name":"upper gastrointestinal bleeding","score":0.546999990940094},{"id":"https://openalex.org/keywords/endoscopic-findings","display_name":"endoscopic findings","score":0.3970000147819519},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.7839999794960022},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.33899998664855957},{"id":"https://openalex.org/keywords/return-of-spontaneous-circulation","display_name":"return of spontaneous circulation","score":0.625},{"id":"https://openalex.org/keywords/lactic-acid","display_name":"lactic acid","score":0.4620000123977661},{"id":"https://openalex.org/keywords/hypoxia","display_name":"hypoxia","score":0.3409999907016754}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9798555374145508},{"id":"https://openalex.org/C503630168","wikidata":"https://www.wikidata.org/wiki/Q178069","display_name":"Necrosis","level":2,"score":0.6078693866729736},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3491989076137543},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3353347182273865}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/01.ajg.0001049296.92831.16","doi":"https://doi.org/10.14309/01.ajg.0001049296.92831.16","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001049296.92831.16","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2977708528","https://openalex.org/W2154434162","https://openalex.org/W4206610614","https://openalex.org/W4396793551","https://openalex.org/W1991604095","https://openalex.org/W2344501355","https://openalex.org/W2313739438","https://openalex.org/W4411154836","https://openalex.org/W2025578400","https://openalex.org/W3087724931"],"abstract_inverted_index":{"Introduction:":[0],"Gastrointestinal":[1],"bleeding":[2],"due":[3],"to":[4,67,166,252,316],"ischemia":[5,326],"following":[6],"cardiopulmonary":[7,271],"resuscitation":[8,86],"is":[9,28,262],"rare,":[10],"but":[11],"associated":[12,299],"with":[13,41,49,183,198,202,208,215,218,238,300,350,353],"high":[14],"mortality.":[15],"The":[16,131,225,273],"stomach":[17,214,362],"has":[18],"a":[19,50,75,113,157,199,229,253],"rich":[20],"collateral":[21],"blood":[22,94],"supply":[23],"and":[24,58,74,108,123,136,142,174,212,234,248,327,340],"therefore,":[25],"gastric":[26,36,268,348],"necrosis":[27,37,269],"rare.":[29],"We":[30],"report":[31],"the":[32,68,117,128,263,279,301,311,319,334,361,367],"first":[33,264],"case":[34,266,309],"of":[35,54,77,85,112,116,180,267,275,292,303,321,333,366],"after":[38,82,172,270],"cardiac":[39,64,255,276],"arrest":[40,65,256,277],"successful":[42],"resuscitation.":[43,272],"Case":[44],"Description/Methods:":[45],"A":[46,285],"59-year-old":[47],"woman":[48],"past":[51],"medical":[52],"history":[53],"coronary":[55,140],"artery":[56],"disease":[57],"congestive":[59],"heart":[60,148],"failure":[61],"presented":[62],"in":[63,127,159,360],"enroute":[66],"emergency":[69],"department.":[70],"ACLS":[71],"was":[72,80,110,133,186,227,235],"initiated":[73],"return":[76],"spontaneous":[78],"circulation":[79],"obtained":[81],"20":[83],"minutes":[84],"measures.":[87],"Initial":[88],"labs":[89,155],"were":[90,297],"significant":[91],"for":[92,138,231,313],"white":[93],"count":[95],"7.4,":[96],"Hgb":[97],"16.1,":[98],"HCO3":[99],"17,":[100],"glucose":[101],"503,":[102],"lactic":[103],"acid":[104],"5.4.":[105],"CT":[106],"abdomen":[107],"pelvis":[109],"suggestive":[111],"hypoperfusion":[114],"complex":[115,332],"gallbladder,":[118,335],"adrenal":[119,336],"glands,":[120,337],"left":[121,147,338],"kidney,":[122,339],"small":[124,341],"bowel":[125],"seen":[126,359],"Figure":[129],"1.":[130],"patient":[132,226],"given":[134],"aspirin":[135],"Plavix":[137],"acute":[139,209],"syndrome":[141],"subsequently":[143],"underwent":[144],"an":[145],"unrevealing":[146],"catheterization":[149],"without":[150],"any":[151],"obstructive":[152],"lesions.":[153],"Repeat":[154],"showed":[156],"decrease":[158],"hemoglobin":[160],"from":[161,364],"16.5":[162],"g/dL":[163,168],"on":[164,188,278,324],"admission":[165,173],"9.8":[167],"within":[169],"8":[170],"hours":[171],"her":[175,244,258],"nasogastric":[176],"tube":[177],"had":[178],"600ml":[179],"bloody":[181],"output":[182],"clots.":[184],"She":[185],"started":[187],"intravenous":[189],"pantoprazole.":[190],"An":[191],"urgent":[192],"EGD":[193],"revealed":[194],"severe":[195],"mucosal":[196,216,351],"sloughing":[197,217,352],"Blacks":[200],"esophagus":[201,211],"exposed":[203,219,354],"underlying":[204,220,355],"friable":[205,221,356],"tissue":[206,222],"consistent":[207],"necrotic":[210,213,345],"(Figure":[223],"1).":[224],"not":[228],"candidate":[230],"surgical":[232],"intervention":[233],"managed":[236],"conservatively":[237],"supportive":[239],"care.":[240],"Despite":[241],"aggressive":[242],"resuscitation,":[243],"clinical":[245],"status":[246],"worsened,":[247],"she":[249],"unfortunately":[250],"succumbed":[251],"subsequent":[254],"during":[257,295],"hospitalization.":[259],"Discussion:":[260],"This":[261,308],"reported":[265],"consequences":[274],"GI":[280,305,325],"tract":[281,306],"are":[282],"poorly":[283],"understood.":[284],"prospective":[286],"study":[287],"demonstrated":[288],"that":[289],"higher":[290],"doses":[291],"adrenaline":[293],"administered":[294],"CPR":[296,322],"independently":[298],"occurrence":[302],"upper":[304],"ischemia.":[307],"highlights":[310],"need":[312],"further":[314],"studies":[315],"better":[317],"understand":[318],"effect":[320],"practices":[323],"necrosis.Figure":[328],"1.:":[329],"A:":[330],"Hypoperfusion":[331],"bowel.":[342],"BC:":[343],"Acute":[344],"stomach.":[346],"Severe":[347],"inflammation":[349],"tissue.":[357],"Blood":[358],"likely":[363],"oozing":[365],"mucosa.":[368]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2024-10-25T00:00:00"}