| Esophageal food bolus obstruction: evaluation of extraction and modified push techniques in 75 cases. | |
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MedLine Citation:
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PMID: 10494678 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND STUDY AIMS: Endoscopic extraction is the standard method of treating esophageal food bolus obstructions. The efficacy, efficiency, and safety of various techniques used over a 12-year period were evaluated. PATIENTS AND METHODS: Seventy-five procedures with soft food bolus obstruction were analyzed. If endoscopic extraction failed, or it was determined that alternative techniques would be effective, food was pushed into the stomach by: a) the endoscope tip, with or without a guide wire; or b) the wire-guided Savary dilators. The duration of the procedures included therapeutic Savary dilation (in 61 of 75 cases). RESULTS: Food bolus obstruction was associated with peptic strictures (69%), Schatzki's rings (19%), and tight fundoplications (3 %). No narrowing was seen in 9%. Extraction, scope push and Savary push methods were successful in seven of 16, 48 of 48, and 20 of 20 attempts, respectively. The mean duration, including stricture dilation (+/- 1 standard deviation), for the extraction, scope push and Savary push procedures were 32 (+/- 17), 18 (+/- 14) and 27 (+/- 15) mm, respectively. No cases of perforation, hemorrhage, oxygen desaturation, aspiration, or pneumonia occurred. CONCLUSIONS: Management of esophageal food bolus obstructions by modified push methods and esophageal dilation in the same session appears to be effective, efficient and safe. The methods employed should be individualized for each patient. Push methods require experience and judgment. |
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Authors:
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L B Weinstock; B A Shatz; S E Thyssen |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Endoscopy Volume: 31 ISSN: 0013-726X ISO Abbreviation: Endoscopy Publication Date: 1999 Aug |
Date Detail:
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Created Date: 1999-10-19 Completed Date: 1999-10-19 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0215166 Medline TA: Endoscopy Country: GERMANY |
Other Details:
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Languages: eng Pagination: 421-5 Citation Subset: IM |
Affiliation:
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Dept. of Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Dilatation Endoscopy, Digestive System / methods* Esophageal Stenosis / etiology, therapy* Female Food* Foreign Bodies / etiology, therapy* Humans Male Middle Aged Pliability Prospective Studies Recurrence Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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