{"pk":19397,"title":"Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report ","subtitle":null,"abstract":"<p><strong>Introduction:</strong> An attempt at medical management is often the initial step in addressing esophageal obstruction from an impacted food bolus. Medical management, however, has limited success and often requires urgent endoscopy. We present a case in which standard medical treatment failed, but a swallowing augmentation maneuver resolved the obstruction. </p>\n<p><strong>Case Report:</strong> A 67-year-old female presented with esophageal obstruction after eating steak. Transfer to higher level of care for endoscopy was initiated; however, the receiving gastroenterologist suggested an “upright posture, chin tuck, double swallow” maneuver. This immediately resolved the patient’s symptoms, and she was discharged home. </p>\n<p><strong>Conclusion: </strong>This case suggests a novel, non-endoscopic technique for esophageal obstruction from food bolus impaction. </p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"gastrointestinal"},{"word":"esophageal obstruction"},{"word":"Meat Impaction"},{"word":"Food Bolus Impaction"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0m20f3fh","frozenauthors":[{"first_name":"Matthias","middle_name":"","last_name":"Barden","name_suffix":"","institution":"Eisenhower Health, Emergency Medicine Residency Program, Rancho Mirage, California; Hi-Desert Medical Center, Department of Emergency Medicine, Joshua Tree, California","department":""},{"first_name":"Michael","middle_name":"E","last_name":"Schwartz","name_suffix":"","institution":"Desert Care Network, Section Gastroenterology, Coachella Valley, California","department":""}],"date_submitted":"2024-02-05T00:08:45.658000-06:00","date_accepted":"2024-05-15T13:04:47.945000-05:00","date_published":"2024-07-28T12:00:00-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19397/galley/31057/download/"}]}