Ugeskrift for laeger 2013-03-04

[Treatment of foreign body impactions in oesophagus].

Javed Akram, Faisal Mohammad Amin, Jan G Toft, Frans Rømeling

Index: Ugeskr. Laeg. 175(10) , 640-3, (2013)

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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.