| Steakhouse syndrome |
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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)
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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.
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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. |
Steakhouse syndrome
