Journal of Case Reports in Medical Science
 

Journal of Case Reports in Medical Science, ISSN No. : 2456-9143, Vol.: 4, Issue.: 1

Case Report

TWO CASES OF ESOPHAGEAL COOKED RICE IMPACTION

 

YASUHISA FUJINO1*, YOSHIHIRO INOUE1, SATOSHI KIKUCHI1, MASAYUKI SATO1, SHUSAKU SASAKI1, HISAHO SATO1 AND MASAHIRO KOJIKA1

1Division of Critical Care Medicine, Department of Critical Care, Disaster and General Medicine, School of Medicine, Iwate Medical University, Japan.

Abstracts

Currently, there is no unified treatment guideline for the management of esophageal foreign bodies in the form of soft foods; treatment at each medical facility is performed according to the clinicians judgment. We reported two cases of esophageal cooked rice impaction treated by endoscopic removal. The patients swallowed large amounts of cooked rice quickly without chewing and were taken to the hospital via ambulance. Urgent endoscopy was performed in both cases; they were not complicated by esophageal abnormalities such as esophageal stenosis, esophageal spasm, gastroesophageal reflux disease (GERD), or eosinophilic esophagitis. We pushed the cooked rice into the stomach using an endoscope by air insufflation and applying gentle pressure. After removal of the rice, there were ischemic changes in the esophageal mucosa. We concluded that esophageal soft food impaction, even when caused by deformable soft foods such as cooked rice, should be treated immediately by surgical intervention such as endoscopy.

Keywords :

Esophagus; foreign bodies; food; endoscopy.