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

摘要

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 tobe a simple, quick, safe, and effective technique to treat EFI.