Citation

Chae HS, Lee TK, Kim YW, Lee CD, Kim SS, Han SW, Choi KY, Chung IS, Sun HS. Dis. Esophagus 2002; 15(4): 330-333.

Affiliation

Department of Internal Medicine, Catholic University College of Medicine, Seoul, South Korea.

Copyright

(Copyright © 2002, John Wiley and Sons)

DOI

unavailable

PMID

12472482

Abstract

The most common type of esophageal food-related foreign body is the meat bolus, which is frequently associated with underlying esophageal stenosis. Herein, we report two cases of meat bolus impaction associated with nutcracker esophagus. In the first case, the 63-year-old male patient had chest discomfort and swallowing difficulty after ingestion of butcher's meat. In the second case, the 55-year-old male patient had complained of swallowing difficulty after ingestion of chicken. In both cases, no pathologic findings were observed endoscopically after removal of the esophageal meat bolus. We performed esophageal manometry, which showed very high amplitudes of esophageal pressure in the mid- and distal esophagus. These findings were consistent with nutcracker esophagus. These cases show that esophageal motility disorder may be the cause of esophageal foreign body impaction, and esophageal manometry should be performed for evaluation of the cause of foreign body, especially in an endoscopically normal patient.

Language: en