title: [Treatment of foreign body impactions in oesophagus].
abstract: Foreign body impactions in oesophagus occur frequently. The causes are oesophageal pathology (anatomical, functional or inflammatory diseases). X-ray may be performed to determine the diagnosis or suspected perforation. Treatment can be conservative with carbonated drinks and observation for up to 24 hours, as up to two thirds of the impactions pass spontaneously. There is no evidence for medical treatment with buscopane, diazepam or glucagone. Emergent endoscopy is performed at risk of perforation by erosive or sharp objects, by obstruction over 24 hours, at risk of aspiration and complete obstruction.
authors: Øre-, næse- og halskirurgisk Afdeling, Køge Sygehus, Lykkebækvej 1, 4600 Køge, Denmark. javedakram@hotmail.com
authors: Javed
authors: J
authors: Akram
authors: Faisal Mohammad
authors: FM
authors: Amin
authors: Jan G
authors: JG
authors: Toft
authors: Frans
authors: F
authors: Rømeling
mesh_terms: D000465:Algorithms; D001569:Benzodiazepines / Q000627:therapeutic use; D002086:Butylscopolammonium Bromide / Q000627:therapeutic use; D002253:Carbonated Beverages; D000075202:Contraindications; D019091:Critical Pathways; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology; D020701:Esophagoscopes; D004945:Esophagoscopy / Q000009:adverse effects; D004947:Esophagus / Q000000981:diagnostic imaging / Q000293:injuries; D019317:Evidence-Based Medicine; D005547:Foreign Bodies / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D005934:Glucagon / Q000627:therapeutic use; D006801:Humans; D010276:Parasympatholytics / Q000627:therapeutic use; D011859:Radiography; D016896:Treatment Outcome
chemical_list: D005765:Gastrointestinal Agents; D010276:Parasympatholytics; D001569:Benzodiazepines; D002086:Butylscopolammonium Bromide; D005934:Glucagon