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Current management of esophageal impactions
S R Blair1, G M Graeber, J L Cruzzavala
1Department of Surgery, Baylor College of Medicine, Houston.
Chest
|October 1, 1993
Summary
Esophagoscopy effectively removes esophageal impactions in both children and adults, with a high success rate and low complication risk. This endoscopic approach offers a safe and successful treatment for esophageal foreign bodies and food impactions.
Area of Science:
- Gastroenterology
- Otolaryngology
- Pediatric Surgery
Background:
- Esophageal impaction is a common condition requiring prompt management.
- Traditional treatments have variable success rates and potential complications.
Purpose of the Study:
- To evaluate the efficacy and safety of esophagoscopy for esophageal impaction removal.
- To compare outcomes in pediatric versus adult patients.
Main Methods:
- Retrospective analysis of 157 esophageal impaction episodes in 150 patients (1977-1990).
- Data collected on patient demographics, impaction cause, treatment modality, and outcomes.
- Focus on esophagoscopy success rates, complications, morbidity, and mortality.
Main Results:
- Esophagoscopy was successful in 32/34 pediatric cases (foreign body etiology) with one complication.
- Esophagoscopy succeeded in 104/109 adult cases (food/bone etiology), with two perforations (one fatal).
- Alternative therapies had variable success.
Conclusions:
- Esophagoscopy is a highly successful and safe endoscopic treatment for esophageal impaction.
- The procedure demonstrates low morbidity and mortality across pediatric and adult populations.