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Related Experiment Videos

Steakhouse spasm.

J A DiPalma, C E Brady

    Journal of Clinical Gastroenterology
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Sudden esophageal obstruction, or Steakhouse syndrome, can occur without physical narrowing. This study suggests a motor abnormality, termed "Steakhouse spasm," may cause food impaction in a normal-appearing esophagus.

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    Area of Science:

    • Gastroenterology
    • Esophageal Motility Disorders
    • Clinical Medicine

    Background:

    • Steakhouse syndrome is characterized by acute esophageal obstruction after eating.
    • While some cases show physical narrowing, many present with identical symptoms but a normal esophagus.

    Observation:

    • Four patients experienced acute dysphagia, unable to swallow solids or liquids for up to 96 hours.
    • Symptoms began after consuming meat (three patients) or psyllium (one patient).
    • Esophageal X-rays and endoscopy revealed no structural abnormalities.

    Findings:

    • Esophageal manometry identified motor disorders in three of the four patients.
    • This suggests an underlying esophageal dysmotility may be responsible for the obstruction.
    • The condition is hypothesized as a spastic variant, termed "Steakhouse spasm."

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    Implications:

    • Steakhouse spasm may be a common, yet often overlooked, cause of esophageal dysmotility.
    • Recognizing this motor abnormality is crucial for accurate diagnosis and management.
    • This finding expands the understanding of esophageal functional disorders.