Oesophageal food impaction (or steakhouse syndrome) refers to a food bolus acutely obstructing the oesophagus.
The main symptom is usually of acute dysphagia.
Depending on the composition of the ingested content, the bolus may be visible on plain radiography.
Small amounts of water-soluble isotonic contrast can be administered with fluoroscopic screening to evaluate the location of the bolus.
CT may be necessary if there is concern of perforation.
Treatment and prognosis
Treatments that are less invasive than endoscopy include effervescent crystals, coca-cola, glucagon, and muscle relaxants.
- oesophageal dysmotility
- oesophageal tumours
- benign oesophageal neoplasms
- malignant oesophageal neoplasms
- gastro-oesophageal reflux disease
- oesophageal stricture
- 1. Spinou E, Kubba H, Guse J et-al. The radiological management of oesophageal food bolus obstruction using a gas-forming agent and barium. Auris Nasus Larynx. 2003;30 (1): 103-5. Pubmed citation
- 2. Ginsberg GG. Food bolus impaction. Gastroenterol Hepatol (N Y). 2011;3 (2): 85-6. Free text at pubmed - Pubmed citation
- 3. Elango S, Palaniappan SP, Lingam VS et-al. Oesophageal food bolus impaction. Singapore Med J. 1991;31 (6): 624-6. Pubmed citation