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

Dig Dis Sci

Dallas Veterans Affairs Medical Center, and Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Texas Southwestern Medical Center, 4500 Lancaster Road, Dallas, TX 75216, USA.

Published: September 2008

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.

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Source
http://dx.doi.org/10.1007/s10620-007-0156-zDOI Listing

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