New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases

Aim. Large food bits can get stuck in the esophagus and must be removed by endoscopy. In some cases, this can be difficult or unsafe. We describe a new and safe treatment for such patients. Materials and Methods. 100 consecutive patients were referred to Akershus University Hospital with impacted fo...

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Main Authors: Muhammad Shafique, Sheraz Yaqub, Erik S. Lie, Vegard Dahl, Frode Olsbø, Ola Røkke
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/142703
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author Muhammad Shafique
Sheraz Yaqub
Erik S. Lie
Vegard Dahl
Frode Olsbø
Ola Røkke
author_facet Muhammad Shafique
Sheraz Yaqub
Erik S. Lie
Vegard Dahl
Frode Olsbø
Ola Røkke
author_sort Muhammad Shafique
collection DOAJ
description Aim. Large food bits can get stuck in the esophagus and must be removed by endoscopy. In some cases, this can be difficult or unsafe. We describe a new and safe treatment for such patients. Materials and Methods. 100 consecutive patients were referred to Akershus University Hospital with impacted food in the esophagus. In 36 patients (36%), the food passed spontaneously. In 59 (92%) of the remaining 64 patients, the food was removed by endoscopic intervention. In the last five patients, endoscopic removal was judged difficult or unsafe. These patients received the new treatment: one capsule Creon 10000 IU dissolved in 30 mL of Coca-Cola administered by a nasooesophageal tube four times daily for 2-3 days. Results. Of the 59 patients treated with endoscopic procedure, complications occurred in four (7%): three bleedings and one perforation of the esophagus. In five patients treated with Coca-Cola and Creon, the food had either passed or was soft after 2-3 days and could easily be removed. Conclusion. The treatment of choice of impacted food in the esophagus is endoscopic removal. In cases where this is difficult, we recommend treatment with Coca-Cola and Creon for 2-3 days before complications occur.
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institution Kabale University
issn 1687-6121
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language English
publishDate 2013-01-01
publisher Wiley
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series Gastroenterology Research and Practice
spelling doaj-art-9b2ce4e6897548a69dca27ef4dc64e9c2025-02-03T01:10:51ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/142703142703New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive CasesMuhammad Shafique0Sheraz Yaqub1Erik S. Lie2Vegard Dahl3Frode Olsbø4Ola Røkke5Department of Gastroenterological Surgery, Akershus University Hospital, 1478 Lørenskog, NorwayDepartment of Gastroenterological Surgery, Oslo University Hospital, 0316 Oslo, NorwayDepartment of Ear-Nose-Throat, Akershus University Hospital, 1470 Lørenskog, NorwayFaculty of Medicine, University of Oslo, 0316 Oslo, NorwayDepartment of Thoracic and Vascular Surgery, Akershus University Hospital, 1470 Lørenskog, NorwayDepartment of Gastroenterological Surgery, Akershus University Hospital, 1478 Lørenskog, NorwayAim. Large food bits can get stuck in the esophagus and must be removed by endoscopy. In some cases, this can be difficult or unsafe. We describe a new and safe treatment for such patients. Materials and Methods. 100 consecutive patients were referred to Akershus University Hospital with impacted food in the esophagus. In 36 patients (36%), the food passed spontaneously. In 59 (92%) of the remaining 64 patients, the food was removed by endoscopic intervention. In the last five patients, endoscopic removal was judged difficult or unsafe. These patients received the new treatment: one capsule Creon 10000 IU dissolved in 30 mL of Coca-Cola administered by a nasooesophageal tube four times daily for 2-3 days. Results. Of the 59 patients treated with endoscopic procedure, complications occurred in four (7%): three bleedings and one perforation of the esophagus. In five patients treated with Coca-Cola and Creon, the food had either passed or was soft after 2-3 days and could easily be removed. Conclusion. The treatment of choice of impacted food in the esophagus is endoscopic removal. In cases where this is difficult, we recommend treatment with Coca-Cola and Creon for 2-3 days before complications occur.http://dx.doi.org/10.1155/2013/142703
spellingShingle Muhammad Shafique
Sheraz Yaqub
Erik S. Lie
Vegard Dahl
Frode Olsbø
Ola Røkke
New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases
Gastroenterology Research and Practice
title New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases
title_full New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases
title_fullStr New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases
title_full_unstemmed New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases
title_short New and Safe Treatment of Food Impacted in the Esophagus: A Single Center Experience of 100 Consecutive Cases
title_sort new and safe treatment of food impacted in the esophagus a single center experience of 100 consecutive cases
url http://dx.doi.org/10.1155/2013/142703
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