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Updated: Jul 7, 2026

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Published on: April 17, 2020
Through-the-scope, wire-guided esophageal dilation for the treatment of food impaction
Ali Ahmed Siddiqui1, William V Harford, Stuart J Spechler
1Dallas 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
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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