Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report
Introduction: An attempt at medical management is often the initial step in addressing esophageal obstruction from an impacted food bolus. Medical management, however, has limited success and often requires urgent endoscopy. We present a case in which standard medical treatment failed, but a swallow...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2024-07-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/0m20f3fh |
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| author | Matthias Barden Michael E. Schwartz |
| author_facet | Matthias Barden Michael E. Schwartz |
| author_sort | Matthias Barden |
| collection | DOAJ |
| description | Introduction: An attempt at medical management is often the initial step in addressing esophageal obstruction from an impacted food bolus. Medical management, however, has limited success and often requires urgent endoscopy. We present a case in which standard medical treatment failed, but a swallowing augmentation maneuver resolved the obstruction. Case Report: A 67-year-old female presented with esophageal obstruction after eating steak. Transfer to higher level of care for endoscopy was initiated; however, the receiving gastroenterologist suggested an “upright posture, chin tuck, double swallow” maneuver. This immediately resolved the patient’s symptoms, and she was discharged home. Conclusion: This case suggests a novel, non-endoscopic technique for esophageal obstruction from food bolus impaction. |
| format | Article |
| id | doaj-art-dfe47a1122044ddeb2daa39aa10aa3fd |
| institution | DOAJ |
| issn | 2474-252X |
| language | English |
| publishDate | 2024-07-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj-art-dfe47a1122044ddeb2daa39aa10aa3fd2025-08-20T02:57:01ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2024-07-018434334510.5811/cpcem.19397cpcem-8-343Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case ReportMatthias Barden0Michael E. Schwartz1Eisenhower Health, Emergency Medicine Residency Program, Racho Mirage, CaliforniaDesert Care Network, Section Gastroenterology, Coachella Valley, CaliforniaIntroduction: An attempt at medical management is often the initial step in addressing esophageal obstruction from an impacted food bolus. Medical management, however, has limited success and often requires urgent endoscopy. We present a case in which standard medical treatment failed, but a swallowing augmentation maneuver resolved the obstruction. Case Report: A 67-year-old female presented with esophageal obstruction after eating steak. Transfer to higher level of care for endoscopy was initiated; however, the receiving gastroenterologist suggested an “upright posture, chin tuck, double swallow” maneuver. This immediately resolved the patient’s symptoms, and she was discharged home. Conclusion: This case suggests a novel, non-endoscopic technique for esophageal obstruction from food bolus impaction.https://escholarship.org/uc/item/0m20f3fh |
| spellingShingle | Matthias Barden Michael E. Schwartz Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report Clinical Practice and Cases in Emergency Medicine |
| title | Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report |
| title_full | Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report |
| title_fullStr | Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report |
| title_full_unstemmed | Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report |
| title_short | Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report |
| title_sort | esophageal obstruction from food bolus impaction successfully managed with the upright posture chin tuck double swallow maneuver a case report |
| url | https://escholarship.org/uc/item/0m20f3fh |
| work_keys_str_mv | AT matthiasbarden esophagealobstructionfromfoodbolusimpactionsuccessfullymanagedwiththeuprightposturechintuckdoubleswallowmaneuveracasereport AT michaeleschwartz esophagealobstructionfromfoodbolusimpactionsuccessfullymanagedwiththeuprightposturechintuckdoubleswallowmaneuveracasereport |