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An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the “Nitro-Push Blind Technique” case report

BACKGROUND: In the medical literature are described only few clinical cases of esophageal food bolus impaction due to esophageal motility disorders. Moreover, the management of this condition is highly variable with no evidence in the literature to strongly support a clear defined intervention. CASE...

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Autores principales: Marano, Luigi, Cecchi, Alessandro, Chiodo, Federica, Gullo, Francesco, Fiorillo, Pasquale, Roncetti, Luca, Longaroni, Mattia, Silvestri, Gianluca Proietti, Lolli, Silvano, Nicolic, Giorgio, Patriti, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991025/
https://www.ncbi.nlm.nih.gov/pubmed/27538991
http://dx.doi.org/10.1186/s12876-016-0511-7
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author Marano, Luigi
Cecchi, Alessandro
Chiodo, Federica
Gullo, Francesco
Fiorillo, Pasquale
Roncetti, Luca
Longaroni, Mattia
Silvestri, Gianluca Proietti
Lolli, Silvano
Nicolic, Giorgio
Patriti, Alberto
author_facet Marano, Luigi
Cecchi, Alessandro
Chiodo, Federica
Gullo, Francesco
Fiorillo, Pasquale
Roncetti, Luca
Longaroni, Mattia
Silvestri, Gianluca Proietti
Lolli, Silvano
Nicolic, Giorgio
Patriti, Alberto
author_sort Marano, Luigi
collection PubMed
description BACKGROUND: In the medical literature are described only few clinical cases of esophageal food bolus impaction due to esophageal motility disorders. Moreover, the management of this condition is highly variable with no evidence in the literature to strongly support a clear defined intervention. CASE PRESENTATION: In this paper we describe for the first time a case of 53-year-old male with food bolus impaction due to Jackhammer esophagus referred to emergency department. On the basis of the known esophageal past medical history as well as the absence of bones in the bolus, the patient was submitted to a new conservative treatment, the “Nitro-Push Blind Technique”. CONCLUSIONS: The new technique performed with naso-gastric tube thrust after nitrates medication in definite clinical case supported by known functional disease, represents a safe and successful method, with short observational period to minimize exposure to potential morbidity and reduce the inpatient stay in emergency department. It should be recommended, once validated in a larger cohort, as the initial treatment of choice in the selected patients with food boneless bolus impaction in the emergency settings. Indeed, this management provides only minimal deviation from the current practice and is hence technically easy to learn and perform.
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spelling pubmed-49910252016-08-20 An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the “Nitro-Push Blind Technique” case report Marano, Luigi Cecchi, Alessandro Chiodo, Federica Gullo, Francesco Fiorillo, Pasquale Roncetti, Luca Longaroni, Mattia Silvestri, Gianluca Proietti Lolli, Silvano Nicolic, Giorgio Patriti, Alberto BMC Gastroenterol Case Report BACKGROUND: In the medical literature are described only few clinical cases of esophageal food bolus impaction due to esophageal motility disorders. Moreover, the management of this condition is highly variable with no evidence in the literature to strongly support a clear defined intervention. CASE PRESENTATION: In this paper we describe for the first time a case of 53-year-old male with food bolus impaction due to Jackhammer esophagus referred to emergency department. On the basis of the known esophageal past medical history as well as the absence of bones in the bolus, the patient was submitted to a new conservative treatment, the “Nitro-Push Blind Technique”. CONCLUSIONS: The new technique performed with naso-gastric tube thrust after nitrates medication in definite clinical case supported by known functional disease, represents a safe and successful method, with short observational period to minimize exposure to potential morbidity and reduce the inpatient stay in emergency department. It should be recommended, once validated in a larger cohort, as the initial treatment of choice in the selected patients with food boneless bolus impaction in the emergency settings. Indeed, this management provides only minimal deviation from the current practice and is hence technically easy to learn and perform. BioMed Central 2016-08-18 /pmc/articles/PMC4991025/ /pubmed/27538991 http://dx.doi.org/10.1186/s12876-016-0511-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Marano, Luigi
Cecchi, Alessandro
Chiodo, Federica
Gullo, Francesco
Fiorillo, Pasquale
Roncetti, Luca
Longaroni, Mattia
Silvestri, Gianluca Proietti
Lolli, Silvano
Nicolic, Giorgio
Patriti, Alberto
An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the “Nitro-Push Blind Technique” case report
title An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the “Nitro-Push Blind Technique” case report
title_full An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the “Nitro-Push Blind Technique” case report
title_fullStr An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the “Nitro-Push Blind Technique” case report
title_full_unstemmed An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the “Nitro-Push Blind Technique” case report
title_short An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the “Nitro-Push Blind Technique” case report
title_sort innovative fast track solution for food bolus impaction due to jackhammer esophagus in an emergency department: the “nitro-push blind technique” case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991025/
https://www.ncbi.nlm.nih.gov/pubmed/27538991
http://dx.doi.org/10.1186/s12876-016-0511-7
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