Esophageal food impaction
Esophageal food impaction (or steakhouse syndrome) refers to a food bolus acutely obstructing the esophagus.
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Clinical presentation
The main symptom is usually acute dysphagia.
Radiographic features
Plain radiograph
Depending on the composition of the ingested content, the bolus may be visible on plain radiography.
Fluoroscopy
Small amounts of water-soluble isotonic contrast can be administered with fluoroscopic screening to evaluate the location of the bolus.
CT
CT may be necessary if there is concern of perforation.
Treatment and prognosis
Treatments that are less invasive than endoscopy include effervescent crystals, carbonated drinks, glucagon, and muscle relaxants.
Related Radiopaedia articles
Oesophageal pathology
- esophageal dysmotility
- esophageal tumors
- gastro-esophageal reflux disease
-
esophageal stricture
- benign esophageal stricture
- esophageal web
- esophageal ring
- malignant esophageal stricture
- esophageal stent
- benign esophageal stricture
- trauma
- infectious
- congenital
- gamuts
- megaesophagus
- pseudoachalasia
- surgical procedures
