Treatment of acute esophageal food impaction with glucagon, an effervescent agent, and water.

Robbins, M I; Shortsleeve, Michael J.

doi:10.2214/ajr.162.2.8310919

Cited by 38 publications

(17 citation statements)

References 8 publications

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“…Thimmapuran et al [5] found that glucagon was effective in 33 % of 125 cases. A smaller study found that glucagon and an effervescent drink were effective in 69 % of cases [6]. Our study suggests that the cost of a glucagon strategy is significantly lower than an initial endoscopy strategy.…”

Section: Discussionmentioning

confidence: 57%

Glucagon Is a Safe and Inexpensive Initial Strategy in Esophageal Food Bolus Impaction

2015

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Section: Discussionmentioning

confidence: 57%

Glucagon Is a Safe and Inexpensive Initial Strategy in Esophageal Food Bolus Impaction

2015

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“…Et ve benzeri ÖYC'de İntravenöz glukagon ile özefagus ve özofagogastrik bileşkedeki düz kasların relaksasyonu sağlanarak yabancı cismin mideye geçişi sağlanabilir 2,21 . Özellikle sivri uçlu yabancı cisimlerde; aortoözefagial fistül ve perforasyon riski durumunda veya endoskopi ile yabancı cismin çıkartılmasının tehlikeli veya imkansız olduğu durumlarda cerrahi yöntem kaçınılmazdır.…”

Section: Tedavi Yöntemleriunclassified

Çocuklarda Özefagus Yabancı Cisimleri

Metin¹,

Öncel²,

Yıldırım³

et al. 2014

Arşiv Kaynak Tarama Dergisi

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Esophageal foreign bodies lead to serious morbidity and mortality in our country and around the world. The foreign bodies are located 28 to 68% of esophagus .Generally esophageal foreign bodies are located at the as called cricopharyngeus muscle first level in 70%, the thoracic esophagus second level in 15% and the gastroesophageal junction in the remaining 15%. Sharp edged objects and coins may lodge in the first esophagus. In children in the form of deliberate or accidental ingestion. Symptoms can vary according to the shape and structure of the ingested object, type of location, and complications caused by the foreign body. Foreign bodies such as bone and coins are usually seen in cervical radiographs in the hypoharynx and cervical esophagus.Lack of visualisation at radiography does not exclude the presence of a foreign body. In treatment, foley catheter, rigid esophagoscopy and removing the foreign body with a Magill forceps, treatment methods can be used. Rigid esophagoscopy is an effective and safe procedure for foreign body diagnosis and removal. Key words: Children, esophagus foreign bodies, treatment. ÖZETÖzefagus yabancı cisimleri ülkemizde ve dünyada ciddi morbidite ve mortalite nedenidir. Yabancı cisimlerin %28-68'i özefagusta yerleşmektedir. Özefagus yabancı cisimlerinin %70'i krikofaringeus kası denilen 1. seviyede, %15'i Torasik kısım olan 2. seviyede ve %15'i ise gastroözefagial bileşkede yerleşir. Sivri uçlu cisimler ve madeni paralar genellikle özefagusun 1 darlığında takılıp kalabilir. Özefagus yabancı cisimleri en sık çocuklarda ve bilerek veya kaza ile yutma sonucu görülür. Yutulan nesnenin şekline, yapısına, yerleşim yerine ve yabancı cismin yol açtığı komplikasyonlara bağlı olarak

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“…A recent report found that a combination of glucagon (1 mg i.v.). an effervescent agent, and water to result in clearance of the food bolus in up to 69% of patients [31]. This con servative therapy seems to work less well with narrow rings.…”

Section: Therapymentioning

confidence: 99%

Lower Esophageal (Schatzki’s) Ring: Pathogenesis, Diagnosis and Therapy

DeVault

1996

Dig Dis

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Schatzki’s or lower esophageal ring (LER) is one of the most common causes of solid food dysphagia. These rings are associated with hiatal hernias and appear to be produced by an infolding at the junction between the squamous and columnar mucosa. The pathogenesis of LER is not clear, but may be related to gastroesophageal reflux disease (GERD), while GERD and pill injury may worsen the dysphagia associated with LER. LERs are best diagnosed with a combination of history and a carefully performed barium esophogram with solid bolus challenge. Therapy includes instruction in slow and careful mastication. Bougienage is the main form of treatment, but selected patients may require pneumatic dilation, electrosurgical techniques or surgical repair. GERD should be treated if present in these patients.

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Treatment of acute esophageal food impaction with glucagon, an effervescent agent, and water.

Abstract: OBJECTIVE.In i990, we described a combination therapy that uses glucagon, an effervescent agent, and water to relieve acute esophageal food impaction.

Cited by 38 publications

References 8 publications

Glucagon Is a Safe and Inexpensive Initial Strategy in Esophageal Food Bolus Impaction

Glucagon Is a Safe and Inexpensive Initial Strategy in Esophageal Food Bolus Impaction

Çocuklarda Özefagus Yabancı Cisimleri

Lower Esophageal (Schatzki’s) Ring: Pathogenesis, Diagnosis and Therapy

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