Pharmacological Management of Esophageal Food Bolus Impaction
Identifieur interne : 002306 ( Main/Exploration ); précédent : 002305; suivant : 002307Pharmacological Management of Esophageal Food Bolus Impaction
Auteurs : Yasir Mohammed Khayyat [Arabie saoudite]Source :
- Emergency Medicine International [ 2090-2840 ] ; 2013.
Abstract
Url:
DOI: 10.1155/2013/924015
PubMed: 23738071
PubMed Central: 3666276
Affiliations:
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Le document en format XML
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<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea> Department of Medicine, Umm Al-Qura University, P.O. Box 7607, Makkah</wicri:regionArea>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Pharmacological Management of Esophageal Food Bolus Impaction</title>
<author><name sortKey="Khayyat, Yasir Mohammed" sort="Khayyat, Yasir Mohammed" uniqKey="Khayyat Y" first="Yasir Mohammed" last="Khayyat">Yasir Mohammed Khayyat</name>
<affiliation wicri:level="1"><nlm:aff id="I1"> Department of Medicine, Umm Al-Qura University, P.O. Box 7607, Makkah, Saudi Arabia</nlm:aff>
<country xml:lang="fr">Arabie saoudite</country>
<wicri:regionArea> Department of Medicine, Umm Al-Qura University, P.O. Box 7607, Makkah</wicri:regionArea>
<wicri:noRegion>Makkah</wicri:noRegion>
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<series><title level="j">Emergency Medicine International</title>
<idno type="ISSN">2090-2840</idno>
<idno type="eISSN">2090-2859</idno>
<imprint><date when="2013">2013</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Background</italic>
. Soft esophageal bolus impaction is an emergency that requires skilled endoscopic removal if persistent obstructive symptoms do not resolve spontaneously after careful observation. Expedited care of these patients is crucial to avoid respiratory and mechanical complications. Other possible options for management include medical agents used to manage it prior to performing endoscopy if access to endoscopy was not available or declined by the patient. <italic>Aim</italic>
. To review the available pharmacological and other nonmedicinal options and their mechanism of relief for soft esophageal impaction. <italic>Method</italic>
. Pubmed, Medline and Ovid were used for search of MESH terms pertinent including “foreign body, esophageal, esophageal bolus and medical” for pharmacological and non medicinial agents used for management of esophageal soft bolus impaction as well as manual review of the cross-references. <italic>Results</italic>
. Several agents were identified including Buscopan, Glucagon, nitrates, calcium channel blockers, and papaveretum. Non medicinal agents are water, effervescent agents, and papain. No evidence was found to suggest preference or effectiveness of use of a certain pharmacological agent compared to others. Buscopan, Glucagon, benzodiazepines, and nitrates were studied extensively and may be used in selected patients with caution. Use of papain is obsolete in management of soft bolus impaction.</p>
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</front>
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<affiliations><list><country><li>Arabie saoudite</li>
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