Elsevier

Clinical Radiology

Volume 37, Issue 6, January–November 1986, Pages 589-592
Clinical Radiology

Dislodgement of impacted oesophageal foreign bodies with carbonated beverages

https://doi.org/10.1016/S0009-9260(86)80034-4Get rights and content

Carbonated beverages release sufficient carbon dioxide when ingested, to distend the oesophagus, relax the lower oesophageal sphincter and to force the passage of impacted meat and other foreign bodies into the stomach. Of 28 patients with foreign bodies in the oesophagus, eight had them dislodged after ingestion of barium sulphate suspension, whereas carbonated soda water was used successfully in 16 out of 20 patients with a normal oesophagus or with oesphageal motility disorders and organic strictures. Carbonated beverages may be used as the first-line treatment of acute episodes of oesophageal obstruction due to foreign bodies and could also be integrated into the long-term management of oesophageal disease.

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      Gas-forming agents and carbonated beverages have been used successfully for the treatment of distal esophageal food impactions. These solutions produce carbon dioxide, which is thought to distend the esophagus, relaxing the LES, and pushing the FB distally into the stomach.96,101,102 Their use may increase the success of other spasmolytic agents.101,103

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