Esophageal food impaction

Changed by Mark Thurston, 13 Mar 2018

Updates to Article Attributes

Body was changed:

Oesophageal food impaction (or steakhouse syndrome) refers to a food bolus acutely obstructing the oesophagus.

Clinical presentation

The main symptom is usually acute dysphagia.

Radiographic features

Plain radiograph

Depending on the composition of the ingested content, the bolus may be visible on plain radiography.

Fluoroscopy

Small amounts of water-soluble isotonic contrast can be administered with fluoroscopic screening to evaluate the location of the bolus.

CT

CT may be necessary if there is concern of perforation.

Treatment and prognosis

Treatments that are less invasive than endoscopy include effervescent crystals, colacarbonated drinks, glucagon, and muscle relaxants.

  • -<p><strong>Oesophageal food impaction</strong> (or <strong>steakhouse syndrome</strong>) refers to a food bolus acutely obstructing the <a href="/articles/oesophagus">oesophagus</a>.</p><h4>Clinical presentation</h4><p>The main symptom is usually acute <a href="/articles/dysphagia">dysphagia</a>.</p><h4>Radiographic features</h4><h5>Plain radiograph</h5><p>Depending on the composition of the ingested content, the bolus may be visible on plain radiography.</p><h5>Fluoroscopy</h5><p>Small amounts of water-soluble isotonic contrast can be administered with fluoroscopic screening to evaluate the location of the bolus.</p><h5>CT</h5><p>CT may be necessary if there is concern of <a href="/articles/oesophageal-perforation">perforation</a>.</p><h4>Treatment and prognosis</h4><p>Treatments that are less invasive than endoscopy include effervescent crystals, cola, <a title="Glucagon" href="/articles/glucagon">glucagon</a>, and muscle relaxants.</p>
  • +<p><strong>Oesophageal food impaction</strong> (or <strong>steakhouse syndrome</strong>) refers to a food bolus acutely obstructing the <a href="/articles/oesophagus">oesophagus</a>.</p><h4>Clinical presentation</h4><p>The main symptom is usually acute <a href="/articles/dysphagia">dysphagia</a>.</p><h4>Radiographic features</h4><h5>Plain radiograph</h5><p>Depending on the composition of the ingested content, the bolus may be visible on plain radiography.</p><h5>Fluoroscopy</h5><p>Small amounts of water-soluble isotonic contrast can be administered with fluoroscopic screening to evaluate the location of the bolus.</p><h5>CT</h5><p>CT may be necessary if there is concern of <a href="/articles/oesophageal-perforation">perforation</a>.</p><h4>Treatment and prognosis</h4><p>Treatments that are less invasive than endoscopy include effervescent crystals, carbonated drinks, <a href="/articles/glucagon">glucagon</a>, and muscle relaxants.</p>

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