Pharmacological Management of Esophageal Food Bolus Impaction
Identifieur interne : 002C18 ( Pmc/Curation ); précédent : 002C17; suivant : 002C19Pharmacological 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
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<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>
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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>
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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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<author><name sortKey="Counter, Pr" uniqKey="Counter P">PR Counter</name>
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<biblStruct><analytic><author><name sortKey="Leopard, D" uniqKey="Leopard D">D Leopard</name>
</author>
<author><name sortKey="Fishpool, S" uniqKey="Fishpool S">S Fishpool</name>
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<author><name sortKey="Winter, S" uniqKey="Winter S">S Winter</name>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Emerg Med Int</journal-id>
<journal-id journal-id-type="iso-abbrev">Emerg Med Int</journal-id>
<journal-id journal-id-type="publisher-id">EMI</journal-id>
<journal-title-group><journal-title>Emergency Medicine International</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-2840</issn>
<issn pub-type="epub">2090-2859</issn>
<publisher><publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23738071</article-id>
<article-id pub-id-type="pmc">3666276</article-id>
<article-id pub-id-type="doi">10.1155/2013/924015</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Pharmacological Management of Esophageal Food Bolus Impaction</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Khayyat</surname>
<given-names>Yasir Mohammed</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
</contrib-group>
<aff id="I1"> Department of Medicine, Umm Al-Qura University, P.O. Box 7607, Makkah, Saudi Arabia</aff>
<author-notes><corresp id="cor1">*Yasir Mohammed Khayyat: <email>yasirkhayyat@hotmail.com</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Chak W. Kam</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>13</day>
<month>5</month>
<year>2013</year>
</pub-date>
<volume>2013</volume>
<elocation-id>924015</elocation-id>
<history><date date-type="received"><day>21</day>
<month>1</month>
<year>2013</year>
</date>
<date date-type="rev-recd"><day>25</day>
<month>2</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>17</day>
<month>4</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 Yasir Mohammed Khayyat.</copyright-statement>
<copyright-year>2013</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><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>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Suggested algorithm for management of suspected food bolus impaction.</p>
</caption>
<graphic xlink:href="EMI2013-924015.001"></graphic>
</fig>
<fig id="figbox1" orientation="portrait" position="float"><label>Box 1</label>
<caption><p>Causes of esophageal impaction.</p>
</caption>
<graphic xlink:href="EMI2013-924015.002"></graphic>
</fig>
<fig id="figbox2" orientation="portrait" position="float"><label>Box 2</label>
<caption><p>Esophageal Motility Disorders (EMD).</p>
</caption>
<graphic xlink:href="EMI2013-924015.003"></graphic>
</fig>
</floats-group>
</pmc>
</record>
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