food bolus in oesophagus Oesophageal food bolus impaction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Presence of a complete oesophageal food bolus impaction - Impaction of soft food (boneless) - Age >17 years - Signed written informed consent - ASA class I, II or III
Exclusion criteria
Exclusion criteria: - A trial of cola or another carbonated beverage before coming to hospital - Other pre-endoscopic treatment having been given in-hospital or pre-hospital (such as nifedipine, glucagon, nitrates, butyl scopolamine, benzodiazepines, calcium channel blockers or other) - Impaction of non-food items or food known to contain bones or fish bones - Visible food bolus upon oral inspection - Significant aspiration risk: reduced consciousness (GCS
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of oesophageal food bolus obstruction, defined as either complete or partial resolution: Complete resolution: - Complete symptom resolution and - The ability to swallow saliva. Partial resolution: - Improvement in symptoms, but not disappearance and - The ability to swallow saliva. | — |
Secondary
| Measure | Time frame |
|---|---|
| Intervention complications, defined as: - oesophageal perforation or - mucosal laceration or - bleeding or - aspiration or - any other complication requiring treatment, leading to a prolonged ED stay or requiring hospitalization. | — |
Countries
Netherlands