Download PDF
Endoscopy 1999; 31(6): 421-425
DOI: 10.1055/s-1999-39
Original Article
Georg Thieme Verlag Stuttgart · New York

Esophageal Food Bolus Obstruction: Evaluation of Extraction and Modified Push Techniques in 75 Cases

 L. B. Weinstock,  B. A. Shatz,  E. P. Thyssen
  • Depts. of Medicine and Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri, USA
Further Information

Publication History

Publication Date:
31 December 1999 (online)

Also available at
    Permissions and Reprints

Introduction

Flexible endoscopy using a variety of accessories and techniques is recommended as the preferred approach to dislodge (or disimpact) and remove food bolus obstructions from the esophagus [1] [2] [3] [4] [5] [6] [7] [8]. The choice of which techniques are employed should depend on the underlying esophageal disorder and the amount and character of the food bolus. In this study, the efficacy, efficiency, and safety of extraction and modified push techniques were evaluated in 75 episodes of food bolus obstruction. We also report our experience in dilating strictures during the same session.

References

  • 1 Webb WA. Management of foreign bodies of the upper gastrointestinal tract.  Gastroenterology. 1988;  94 204-216
    PubMedSearch in Google Scholar
  • 2 Brady PG. Esophageal foreign bodies.  Gastroenterol Clin North Am. 1991;  20 691-701
    PubMedSearch in Google Scholar
  • 3 Weiss D, Pouagare M, Mare CJ. An improved method for removal of food impactions in the upper GI tract.  Gastrointest Endosc. 1993;  39 A254
    PubMedSearch in Google Scholar
  • 4 Traube M. Primary structural disorders. In: Spiro HM (ed). Clinical gastroenterology, 4th ed.  New York; McGraw-Hill 1993: 91
    Search in Google Scholar
  • 5 Hamilton JK, Polter DE. Gastrointestinal foreign bodies. In: Sleisinger MF, Fordtran JS (eds). Gastrointestinal disease, 5th ed.  Philadelphia; Saunders 1993: 289
    Search in Google Scholar
  • 6 Bozymski EM, London JF. Foreign bodies in the esophagus. In: Yamada T (ed). Textbook of gastroenterology, 2nd ed.  Philadelphia; Lippincott 1995: 1289-1290
    Search in Google Scholar
  • 7 Benjamin SB. Esophageal foreign bodies and perforations. In: Haubrich WS, Schaffner F, Berk JE (eds). Bockus gastroenterology, 5th ed.  Philadelphia; Saunders 1995: 492-502
    Search in Google Scholar
  • 8 Neustater B, Barkin JS. Extraction of an esophageal food impaction with a Roth retrieval net.  Gastrointest Endosc. 1996;  43 66-67
    PubMedSearch in Google Scholar
  • 9 Fleischer DE, Benjamin SB, Cattau EL Jr, et al. A marked guidewire facilitates esophageal dilatation.  Am J Gastroenterol. 1989;  84 359-361
    PubMedSearch in Google Scholar
  • 10 Kozarek RA, Patterson DK, Ball TJ, et al. Esophageal dilation can be done safely using selective fluoroscopy and single dilating sessions.  J Clin Gastroenterol. 1995;  20 184-188
    PubMedSearch in Google Scholar
  • 11 Rupp T, Earle D, Hawes R, et al. Randomized trial of Savary dilation with/without intralesional steroids for benign gastroesophageal reflux strictures.  Gastrointest Endosc. 1994;  40 A72
    PubMedSearch in Google Scholar
  • 12 Webb WA. Foreign bodies of the upper gastrointestinal tract. In: Taylor MB (ed). Gastrointestinal emergencies.  Baltimore; Williams and Wilkins 1992: 4-11
    Search in Google Scholar
  • 13 Webb WA. Management of foreign bodies of the upper gastrointestinal tract: update.  Gastrointest Endosc. 1995;  41 39-51
    PubMedSearch in Google Scholar
  • 14 Technology Assessment Committee. Guideline for the management of ingested foreign bodies.  Gastrointest Endosc. 1995;  42 622-625
    PubMedSearch in Google Scholar
  • 15 Ginsberg GG. Management of impacted ingested foreign objects and food bolus impactions.  Gastrointest Endosc. 1995;  41 33-38
    CrossrefPubMedSearch in Google Scholar
  • 16 Weiss KL, Brady PG, LaFontaine P. Management of ingested foreign objects and food bolus impactions.  Gastrointest Endosc. 1996;  43 A361
    PubMedSearch in Google Scholar
  • 17 Berggreen PJ, Harrison E, Sanowski RA, et al. Techniques and complications of esophageal foreign body extraction in children and adults.  Gastrointest Endosc. 1993;  39 626-630
    Search in Google Scholar
  • 18 Blair SL, Graber GM, Cruzzaval KL, et al. Current management of esophageal impactions.  Chest. 1993;  104 1206-1209
    PubMedSearch in Google Scholar
  • 19 Barros JL, Caballero A Jr, Rueda JO, Monturiol JM. Foreign body ingestion.  World J Surg. 1991;  15 783-788
    CrossrefPubMedSearch in Google Scholar
  • 20 Brooks JW. Foreign bodies in the air and food passages.  Ann Surg. 1972;  175 720-732
    PubMedSearch in Google Scholar
  • 21 Giordano A, Adams G, Boies L Jr, et al. Current management of esophageal foreign bodies.  Arch Otolaryngol. 1981;  107 249-251
    PubMedSearch in Google Scholar
  • 22 Pezzi JS, Shiau YF. A method for removing meat impactions from the esophagus.  Gastrointest Endosc. 1994;  40 634-636
    PubMedSearch in Google Scholar
  • 23 Kozarek RA, Sanoski RA. Esophageal food impaction: description of a new method for food bolus removal.  Dig Dis Sci. 1980;  25 100-103
    CrossrefPubMedSearch in Google Scholar
  • 24 Saeed ZA, Michaletz PA, Feiner SD, et al. A new endoscopic method for managing food impaction in the esophagus.  Endoscopy. 1990;  22 226-228
    PubMedSearch in Google Scholar
  • 25 Goldman JH, Goldberg RI. Balloon removal of an impacted esophageal meat bolus.  Gastrointest Endosc. 1994;  40 391
    PubMedSearch in Google Scholar
  • 26 Rogers BTG, Kot C, Meiri S, Epstein M. An overtube for flexible fiberoptic esophagogastroduodenoscope.  Gastrointest Endosc. 1982;  28 256-257
    PubMedSearch in Google Scholar
  • 27 Vizcarrondo FJ, Brady PC, Nord HJ. Foreign bodies of the upper gastrointestinal tract.  Gastrointest Endosc. 1983;  29 208-210
    PubMedSearch in Google Scholar
  • 28 Chaikhouni A, Kratz JM, Crawford FA. Foreign bodies of the esophagus.  Am Surg. 1985;  51 173-179
    PubMedSearch in Google Scholar
  • 29 Hurwitz LK, Schneider J, Barkin JS. Wire-guided esophageal intubation with a multiband ligator attached to the end of the gastroscope.  Gastrointest Endosc. 1997;  45 443-444
    PubMedSearch in Google Scholar
  • 30 Spurling TJ, Zaloga GP, Richter JE. Fiberendoscopic removal of a gastric foreign body with overtube technique.  Gastrointest Endosc. 1983;  29 226-227
    PubMedSearch in Google Scholar
  • 31 Goldschmiedt M, Haber G, Kandel G, et al. A safety maneuver for placing overtubes during endoscopic variceal ligation.  Gastrointest Endosc. 1992;  38 399-400
    PubMedSearch in Google Scholar
  • 32 Tsang TK, Buto SK. Catheter guided endoscopic intubation: a new technique for intubating a difficult esophagus.  Gastrointest Endosc. 1992;  38 49-51
    PubMedSearch in Google Scholar
  • 33 Dabezius MA. Esophageal intubation over a guide wire.  Gastrointest Endosc. 1993;  39 597
    PubMedSearch in Google Scholar
  • 34 Weinstock LB. Intubating the hypertensive esophagus using a spring-tipped guidewire.  Pract Gastroenterol. 1998;  22 68
    PubMedSearch in Google Scholar
  • 35 Matsuyama R. Savary wire-guided esophageal foreign body removal.  Am J Gastroenterol. 1997;  92 A1597
    PubMedSearch in Google Scholar
  • 36 Kadakia SO, Parker A, Carrougher JG, Shaffer RT. Esophageal dilation with polyvinyl bougies, using a marked guidewire without the aid of fluoroscopy: an update.  Am J Gastroenterol. 1993;  88 1381-1386
    PubMedSearch in Google Scholar
  • 37 Graham DY, Saeed ZA. Guidewire-assisted esophageal dilatation [letter].  Gastrointest Endosc. 1991;  37 650-651
    PubMedSearch in Google Scholar
  • 38 Classen M, Frühmorgen P. Therapeutische Endoskopie im Verdauungstrakt.  Internist. 1976;  17 220-225
    PubMedSearch in Google Scholar
  • 39 Classen M, Farthmann EF, Seifert E. Operation and therapeutic techniques in endoscopy.  Clin Gastroenterol. 1978;  7 741-763
    PubMedSearch in Google Scholar
  • 40 Reeder LB, DeFilippi VJ, Ferguson MK. Current results of therapy for esophageal perforation.  Am J Surg. 1995;  169 615-617
    CrossrefPubMedSearch in Google Scholar

L. B. WeinstockM.D. 

10287 Clayton Road

St. Louis, MO 63124, USA

Phone: + 1-314-997-5086