Question: Are there any noninvasive means of removal of esophageal foreign bodies?
Answer:
Yes. Glucagon given intravenously may be effective in meat impactions of the lower esophagus. Glucagon acts by relaxing the lower esophageal sphincter. It does not appear to be effective in upper-or mid esophageal foreign bodies. It also does not affect peristalsis once the sphincter is relaxed. The weight of the object itself or the barium ( if a barium study is done) along with normal peristalsis pushes the foreign body through the esophageal sphincter. Papain and other “digestive agents,” on the other hand, should not be used.
May 16th, 2012 at 3:38 am
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