Atlas of Gastroenterological Endoscopy
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Steakhouse syndrome
Steakhouse syndrome In the Steakhouse- syndrome the esophagus usually gets obstructed by an alimentary bolus namely meat. Causes are ill- fitted artificial teeth or a defective set of teeth. Solid, large bits of food, i.e. beef thus reach and get stuck in the esophagus. Literature also reports frequently benign or malignant esophageal diseases (stenosis, tumors) as causative. Also esophageal spasms, occuring during uptake of semiraw meat, are suggested triggers. In the depicted example the patient swallowed during conversation. The patient reported a typical feeling of distension. The bolus obstructs the esophagus proximal to the middle narrowness (aorta, bronchial tree)
incompletely and is pushed forward to the stomach by an endoscope. Sometimes this procedure is not possible (risk of damage to the esophagus in case of complete obstruction). This necessitates removal of the bolus in fractions by foreign body forceps. In desperate cases surgical removal is indicated.
Steakhouse syndrome Steakhouse syndrome
This obstruction is caused by a turnip- cabbage, which got stuck in the upper esophagus. Since the denture was ill- fitted a large piece of cabbage was swallowed. Initially the foreign body is covered with mucus and other fluids (left picture). After applying a water jet stream the piece of vegetable is recognizable (right picture). The foreign body was fragmented and extracted by a polypectomy snare.