Ali Ahmed Siddiqui1, William V Harford, Stuart J Spechler. 1. Dallas Veterans Affairs Medical Center, and Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Texas Southwestern Medical Center, 4500 Lancaster Road, Dallas, TX 75216, USA. Ali.Siddiqui@UTSouthwestern.edu
Abstract
BACKGROUND: Acute esophageal food impaction (EFI) may be treated by endoscopic extraction of the food bolus either en bloc or in a piecemeal fashion. We have found this endoscopic extraction technique to be unsatisfactory. OBJECTIVE: Our purpose was to demonstrate the use of through-the-scope (TTS), wire-guided esophageal balloon dilation to treat EFI. DESIGN: Case reports defining the technique and results of esophageal balloon dilation to treat EFI. SETTING: Tertiary referral center. PATIENTS: Eleven patients presenting with EFI. INTERVENTIONS: Through-the-scope (TTS), wire-guided esophageal balloon dilation to relieve EFI. Main outcome measurements Endoscopic resolution of EFI. RESULTS: TTS, wire-guided esophageal balloon dilation successfully dislodged the EFI in all 11 patients. The procedure took <5 minutes to complete in all cases. There were no major procedure-related complications. LIMITATIONS: Small number of patients. CONCLUSIONS: We have found TTS, wire-guided esophageal balloon dilation to be a simple, quick, safe, and effective technique to treat EFI.
BACKGROUND: Acute esophageal food impaction (EFI) may be treated by endoscopic extraction of the food bolus either en bloc or in a piecemeal fashion. We have found this endoscopic extraction technique to be unsatisfactory. OBJECTIVE: Our purpose was to demonstrate the use of through-the-scope (TTS), wire-guided esophageal balloon dilation to treat EFI. DESIGN: Case reports defining the technique and results of esophageal balloon dilation to treat EFI. SETTING: Tertiary referral center. PATIENTS: Eleven patients presenting with EFI. INTERVENTIONS: Through-the-scope (TTS), wire-guided esophageal balloon dilation to relieve EFI. Main outcome measurements Endoscopic resolution of EFI. RESULTS:TTS, wire-guided esophageal balloon dilation successfully dislodged the EFI in all 11 patients. The procedure took <5 minutes to complete in all cases. There were no major procedure-related complications. LIMITATIONS: Small number of patients. CONCLUSIONS: We have found TTS, wire-guided esophageal balloon dilation to be a simple, quick, safe, and effective technique to treat EFI.
Authors: Glenn M Eisen; Todd H Baron; Jason A Dominitz; Douglas O Faigel; Jay L Goldstein; John F Johanson; J Shawn Mallery; Hareth M Raddawi; John J Vargo; J Patrick Waring; Robert D Fanelli; Jo Wheeler-Harbough Journal: Gastrointest Endosc Date: 2002-06 Impact factor: 9.427