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

Shafique, Muhammad; Yaqub, Sheraz; Lie, E; Dahl, Vegard; Olsbø, Frode; Røkke, Ola

doi:10.1155/2013/142703

Cited by 5 publications

(9 citation statements)

References 8 publications

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“…The most severe of them is perforation of the esophageal wall, which can lead to mediastinitis, abscess, fistula formation, empyema, sepsis, and death [11, 13, 15, 20–22]. Other life treating complications are airway compromise as occurred in our patient, which was treated initially by endotracheal intubation and later endoscopic removal of the FBI.…”

Section: Discussionmentioning

confidence: 87%

Airway Complications from an Esophageal Foreign Body

García

Varon

Surani

2016

Case Reports in Pulmonology

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Introduction. Foreign body impaction (FBI) in the esophagus can be a serious condition, which can have a high mortality among children and adults, if appropriate diagnosis and treatment are not instituted urgently. 80–90% of all foreign bodies trapped in the esophagus usually pass spontaneously through the digestive tract, without any medical or surgical intervention. 10–20% of them will need an endoscopic intervention. Case Report. We hereby present a case of a large chicken piece foreign body impaction in the esophagus in a 25-year-old male with mental retardation. Patient developed hypoxemic respiratory failure requiring intubation. The removal required endoscopic intervention. Conclusions. Foreign bodies trapped in the upper gastrointestinal tract are a serious condition that can be fatal if they are not managed correctly. A correct diagnosis and treatment decrease the chances of complications. Endoscopic treatment remains the gold standard for extracting foreign body impaction.

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Section: Discussionmentioning

confidence: 87%

Airway Complications from an Esophageal Foreign Body

García

Varon

Surani

2016

Case Reports in Pulmonology

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“…Administering cola to human patients to resolve gastric phytobezoars is an effective, noninvasive treatment and is often the only therapeutic agent administered. Cola is sometimes administered in conjunction with endoscopically assisted retrieval of the mass, or mixed with cellulase or pancreatic enzymes (Mohammed and Hegedus 1986;Karanjia and Rees 1993;Chung et al 2006;Ko and Enns 2008;Coskun et al 2011;Ladas et al 2013;Shafique et al 2013;Chun and Popachin 2017). Administering cola rectally to human patients to break down a fecolith has been reported (Lee and Kim 2015;Ontanillo et al 2017).…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of administering cola to cause disintegration of a phytobezoar include the minimal mucosal damage caused by this intervention. In many cases, the obstruction (oesophageal, gastric or intestinal) is relieved solely by administering the cola, thus eliminating the likelihood of damaging the oesophageal mucosa or perforating the oesophagus, complications that may accompany attempts to remove the obstruction by endoscopic manipulation or by lavage (Shafique et al 2013). Administering cola may eliminate the need for surgical removal of a phytobezoar (Ladas et al 2002).…”

Section: Discussionmentioning

confidence: 99%

“…Cola is commonly used in human patients to disintegrate gastric and intestinal phytobezoars and diospyrobezoars (Chung et al 2006;Ladas et al 2013;Iwamuro et al 2015) and is also widely used to resolve oesophageal obstruction caused by any food bolus (Karanjia and Rees 1993;Cotton 1993;Ko and Enns 2008;Ki Hoon et al 2010;Leopard et al 2011;Shafique et al 2013). Disimpaction rates of oesophageal obstructions using carbonated beverages, or other gas forming agents, alone have been reported in people ranging from 65% (Zimmers et al 1988) to 100% (Rice et al 1983;Mohammed and Hegedus 1986;Karanjia and Rees 1993).…”

Section: Introductionmentioning

confidence: 99%

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Use of a carbonated beverage to disintegrate a phytobezoar obstructing the intrathoracic portion of the oesophagus of a horse

Livesey

Yorke

Parra

et al. 2019

Equine Veterinary Education

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Summary This report describes the treatment of a 17‐year‐old American Quarter Horse gelding for an oesophageal obstruction of approximately 24 h’ duration. An intraluminal oesophageal mass resembling a phytobezoar and located close to the cardia, was observed during endoscopic examination of the oesophagus of a horse showing signs of oesophageal obstruction. An intrathoracic oesophageal diverticulum, filled with fluid, was observed about 40 cm proximal to the obstruction. The end of a nasogastric tube was guided beyond the diverticulum, using gastroscopic observation, so that its tip rested close to the obstruction. The obstruction failed to disintegrate or move into the stomach despite vigorous, prolonged lavage. With the nasogastric tube left in place, and the horse's head elevated, 0.5 L cola was administered adjacent to the obstruction through the nasogastric tube. The head was maintained in the elevated position for an hour, after which time the head was lowered and oesophageal lavage resumed. The nasogastric tube was passed into the stomach within 3 min of re‐instituting lavage. The successful use of a carbonated beverage to treat human patients for oesophageal or gastrointestinal obstruction caused by a phytobezoar is well documented. Carbonated beverages have also been reported to be effective in treating horses for gastric and enteric impactions caused by persimmon seeds. Administering cola into the oesophagus may help resolve oesophageal obstruction of horses caused by a phytobezoar or impacted feed material when horses are refractory to other treatments.

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“…Those who search online for remedies for stuck food will find that the internet is replete with advice for cola use. Cola has also been advocated as a safe treatment for patients in whom endoscopic removal of a food bolus is judged to be too risky [17] , [18] . Despite its popularity, there is minimal evidence surrounding cola’s use in removing food boluses.…”

Section: Introductionmentioning

confidence: 99%

Cola therapy for oesophageal food bolus impactions a case series

Baerends

Boeije

Capelle

et al. 2019

African Journal of Emergency Medicine

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Introduction This retrospective case series describes the use of cola to immediately treat complete oesophageal food bolus obstructions in the emergency centre. Short of emergent endoscopy – which is invasive, expensive, not without adverse events, and often unavailable in low-resource settings – no other proven therapies exist to relieve oesophageal food impactions. Methods We performed a chart review of adults with complete oesophageal food bolus obstructions presenting to two Dutch emergency centres. Our primary outcome was cola’s success rate in resolving the obstruction. Our secondary outcome was adverse event occurrence. Results We identified 22 cola interventions in 19 patients, the majority of whom (77.3%) were male. The median age was 59 years (IQR 29–73). All presentations were due to meat impaction. Endoscopy revealed relevant upper gastrointestinal pathology in 54.5%. When initiated in the emergency centre, cola successfully resolved 59% of complete oesophageal obstructions. No adverse events were reported in patients successfully treated with cola. Discussion While keenly aware of our retrospective study’s limitations, we found a promising success rate for cola as an acute intervention for oesophageal food bolus impactions. We registered no adverse events attributable to cola. Also, given that cola is cheap, widely available and seemingly safe we believe it can be considered in patients with oesophageal obstructions due to food, either as pre-endoscopy treatment or in case endoscopy is not available at all. We think our findings provide an impetus for prospective research on this intervention.

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

Cited by 5 publications

References 8 publications

Airway Complications from an Esophageal Foreign Body

Airway Complications from an Esophageal Foreign Body

Use of a carbonated beverage to disintegrate a phytobezoar obstructing the intrathoracic portion of the oesophagus of a horse

Cola therapy for oesophageal food bolus impactions a case series

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