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


METHODS
Case reports defining the technique and results of esophageal balloon dilation to treat EFI.


METHODS
Tertiary referral center.


METHODS
Eleven patients presenting with EFI.


METHODS
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.


CONCLUSIONS
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.
Siddiqui
Ali Ahmed
AA
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. Ali.Siddiqui@UTSouthwestern.edu
Harford
William V
WV
Spechler
Stuart J
SJ
D000368:Aged; D000369:Aged, 80 and over; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D016145:Endoscopy, Digestive System / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005502:Food; D005547:Foreign Bodies / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D016896:Treatment Outcome