Through-the-scope, wire-guided esophageal dilation for the treatment of food impaction

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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.

Original languageEnglish (US)
Pages (from-to)2394-2396
Number of pages3
JournalDigestive Diseases and Sciences
Volume53
Issue number9
DOIs
StatePublished - Sep 1 2008

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Keywords

  • Acute esophageal impaction
  • Balloon dilatation
  • Foreign bodies

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

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