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An esophageal food bolus obstruction is a medical emergency caused by the obstruction of the esophagus by an ingested foreign body.. It is usually associated with diseases that may narrow the lumen of the esophagus, such as eosinophilic esophagitis, Schatzki rings, peptic strictures, webs, or cancers of the esophagus; rarely it can be seen in disorders of the movement of the esophagus, such as ...
Image of a piece of food obstructing the esophagus, a complication in lymphocytic esophagitis. Food bolus impaction is a common complication of lymphocytic esophagitis. [1] This occurs when food is acutely obstructing the esophagus at an area of narrowing and may require an endoscopic procedure in order to remove or dislodge the obstructing food.
Treatment primarily consists of addressing the underlying cause of EGJOO. [2] For example, gastroesophageal reflux disease (GERD) with reflux esophagitis is treated with proton pump inhibitors. Esophageal rings or strictures may be treated with esophageal dilation. Simple observation may be considered, [5] especially if symptoms are minimal or ...
This can cause crushing chest pain and may need immediate treatment with endoscopy, which is the use of a specialized fibre-optic camera in order to remove the lodged food. [4] After the obstruction is located, snares or forceps are inserted to pull the food out of the esophagus or to push it into the stomach. The latter is done with caution ...
The objects most commonly swallowed by children are coins. [3] Meat impaction, resulting in esophageal food bolus obstruction is more common in adults. [4] Swallowed objects are more likely to lodge in the esophagus or stomach than in the pharynx or duodenum. [5]
The treatments for GERD may include food choices, lifestyle changes, medications, and possibly surgery. Initial treatment is frequently with a proton-pump inhibitor such as omeprazole . [ 42 ] In some cases, a person with GERD symptoms can manage them by taking over-the-counter drugs .
In EoE, eosinophils migrate to the esophagus in large numbers. When a trigger food is eaten, the eosinophils contribute to tissue damage and inflammation. Symptoms include swallowing difficulty, food impaction, vomiting, and heartburn. [3] Eosinophilic esophagitis was first described in children but also occurs in adults.
Esophageal cancer also presents with progressive mechanical dysphagia. Patients usually come with rapidly progressive dysphagia first with solids then with liquids, weight loss (> 10 kg), and anorexia (loss of appetite). Esophageal cancer usually affects the elderly. Esophageal cancers can be either squamous cell carcinoma or adenocarcinoma.