Esophageal food impaction

Assoc Prof Craig Hacking and Radswiki et al.

Esophageal food impaction (or steakhouse syndrome) refers to a food bolus acutely obstructing the esophagus.

The main symptom is usually 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.

Treatments that are less invasive than endoscopy include effervescent crystals, carbonated drinks, glucagon, and muscle relaxants.

Oesophageal pathology

Article information

rID: 12968
Synonyms or Alternate Spellings:
  • Esophageal food impaction
  • Steakhouse syndrome
  • Oesophageal food bolus impaction

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Cases and figures

  • Case 1: CT
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  • Case 2: lateral neck Xray
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