Practical Gastroenterology and Hepatology Board Review Toolkit

Nicholas J. Talley , Kenneth R. Devault, Michael B. Wallace, Bashar A. Aqel, Keith D. Lindor


9.1. Distal esophageal food bolus impaction

A distal esophageal food bolus impaction is encountered. The patient’s tachycardia creates an unstable field. Once the nature of the meat impaction is inspected, the tip of the endoscope is used to steer around the impacted food bolus. This effort dislodges the impaction proximally. The distal esophagus and esophagogastric junction are cleared. The disrupted bolus can then be pushed antegrade into the stomach.