Oesophageal food impaction
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View The Radswiki's current disclosuresAt the time the article was last revised Henry Knipe had the following disclosures:
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View Henry Knipe's current disclosures- Esophageal food impaction
- Steakhouse syndrome
- Oesophageal food bolus impaction
Oesophageal food impaction (or steakhouse syndrome) refers to a food bolus acutely obstructing the oesophagus.
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.
References
- 1. Spinou E, Kubba H, Guse J, Johnston A. The Radiological Management of Oesophageal Food Bolus Obstruction Using a Gas-Forming Agent and Barium. Auris Nasus Larynx. 2003;30(1):103-5. doi:10.1016/s0385-8146(02)00054-8 - Pubmed
- 2. Ginsberg G. Food Bolus Impaction. Gastroenterol Hepatol (N Y). 2007;3(2):85-6. PMC3099357 - Pubmed
- 3. Elango S, Palaniappan S, Lingam V, George L. Oesophageal Food Bolus Impaction. Singapore Med J. 1990;31(6):624-6. - Pubmed
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