Podcast 590: Esophageal Food Impactions

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Carbonated beverages have shown efficacy in helping patients spontaneously pass esophageal food impactions</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Glucagon, while historically used for treatment, has been shown to have significant side effects without any clinical benefit</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Definitive treatment is with endoscopy performed typically by a  gastroenterologist</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Long B, Koyfman A, Gottlieb M.</span> <a href= "https://pubmed.ncbi.nlm.nih.gov/30910368/"><span style= "font-weight: 400;">Esophageal Foreign Bodies and Obstruction in the Emergency Department Setting: An Evidence-Based Review.</span></a> <em><span style="font-weight: 400;">J Emerg Med</span></em><span style="font-weight: 400;">. 2019;56(5):499-511. doi:10.1016/j.jemermed.2019.01.025</span></span></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Peksa GD, DeMott JM, Slocum GW, Burkins J, Gottlieb M.</span> <a href= "https://pubmed.ncbi.nlm.nih.gov/30779190/"><span style= "font-weight: 400;">Glucagon for Relief of Acute Esophageal Foreign Bodies and Food Impactions: A Systematic Review and Meta-Analysis.</span></a> <em><span style= "font-weight: 400;">Pharmacotherapy</span></em><span style= "font-weight: 400;">. 2019;39(4):463-472. doi:10.1002/phar.2236</span></span></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Akram J, Amin FM, Toft JG, Rømeling F. Håndtering af fremmedlegeme i øsofagus med synkestop</span> <a href="https://pubmed.ncbi.nlm.nih.gov/23462035/"><span style= "font-weight: 400;">[Treatment of foreign body impactions in oesophagus]</span></a><span style="font-weight: 400;">. Ugeskr Laeger. 2013;175(10):640-643.</spa