title: Use of gas-forming agents in esophageal food impactions.
abstract: Twenty-six patients were treated with a gas-forming mixture of tartaric acid and sodium bicarbonate to relieve esophageal food impactions. A success rate of 65% was achieved, with one patient suffering a mucosal tear of the esophagus. Recommendations are made to limit the use of such gas-forming agents to impactions less than six hours old and in patients without chest pain.
authors.affiliation: Department of Emergency Medicine, Resurrection Hospital, Chicago, Illinois.
authors.forename: T E
authors.initials: TE
authors.lastname: Zimmers
authors.forename: S B
authors.initials: SB
authors.lastname: Chan
authors.forename: P L
authors.initials: PL
authors.lastname: Kouchoukos
authors.forename: H
authors.initials: H
authors.lastname: Mirande
authors.forename: Y
authors.initials: Y
authors.lastname: Noy
authors.forename: B
authors.initials: B
authors.lastname: VanLeuven
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001639:Bicarbonates / Q000008:administration & dosage* / Q000009:adverse effects; D002637:Chest Pain / Q000150:complications; D004947:Esophagus; D005260:Female; D005502:Food; D005547:Foreign Bodies / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012964:Sodium / Q000008:administration & dosage* / Q000009:adverse effects; D017693:Sodium Bicarbonate; D013644:Tartrates / Q000008:administration & dosage* / Q000009:adverse effects; D013997:Time Factors
chemical_list: D001639:Bicarbonates; D013644:Tartrates; D017693:Sodium Bicarbonate; D012964:Sodium; C029768:tartaric acid