Jurnal Internasional Afrika vol. 9 issue 1 2019
African Journal of Emergency Medicine
Cola therapy for oesophageal food bolus impactions a case series
Dublin Core
Title
Jurnal Internasional Afrika vol. 9 issue 1 2019
African Journal of Emergency Medicine
Cola therapy for oesophageal food bolus impactions a case series
African Journal of Emergency Medicine
Cola therapy for oesophageal food bolus impactions a case series
Subject
Oesophagus
Constriction, pathologic
Therapeutics
Foreign body migration
Constriction, pathologic
Therapeutics
Foreign body migration
Description
Introduction: This retrospective case series describes the use of cola to immediately treat complete oesophageal
food bolus obstructions in the emergency centre. Short of emergent endoscopy – which is invasive, expensive,
not without adverse events, and often unavailable in low-resource settings – no other proven therapies exist to
relieve oesophageal food impactions.
Methods: We performed a chart review of adults with complete oesophageal food bolus obstructions presenting
to two Dutch emergency centres. Our primary outcome was cola’s success rate in resolving the obstruction. Our
secondary outcome was adverse event occurrence.
Results: We identified 22 cola interventions in 19 patients, the majority of whom (77.3%) were male. The
median age was 59 years (IQR 29–73). All presentations were due to meat impaction. Endoscopy revealed relevant
upper gastrointestinal pathology in 54.5%. When initiated in the emergency centre, cola successfully
resolved 59% of complete oesophageal obstructions. No adverse events were reported in patients successfully
treated with cola.
Discussion: While keenly aware of our retrospective study’s limitations, we found a promising success rate for
cola as an acute intervention for oesophageal food bolus impactions. We registered no adverse events attributable
to cola. Also, given that cola is cheap, widely available and seemingly safe we believe it can be considered
in patients with oesophageal obstructions due to food, either as pre-endoscopy treatment or in case endoscopy is
not available at all. We think our findings provide an impetus for prospective research on this intervention
food bolus obstructions in the emergency centre. Short of emergent endoscopy – which is invasive, expensive,
not without adverse events, and often unavailable in low-resource settings – no other proven therapies exist to
relieve oesophageal food impactions.
Methods: We performed a chart review of adults with complete oesophageal food bolus obstructions presenting
to two Dutch emergency centres. Our primary outcome was cola’s success rate in resolving the obstruction. Our
secondary outcome was adverse event occurrence.
Results: We identified 22 cola interventions in 19 patients, the majority of whom (77.3%) were male. The
median age was 59 years (IQR 29–73). All presentations were due to meat impaction. Endoscopy revealed relevant
upper gastrointestinal pathology in 54.5%. When initiated in the emergency centre, cola successfully
resolved 59% of complete oesophageal obstructions. No adverse events were reported in patients successfully
treated with cola.
Discussion: While keenly aware of our retrospective study’s limitations, we found a promising success rate for
cola as an acute intervention for oesophageal food bolus impactions. We registered no adverse events attributable
to cola. Also, given that cola is cheap, widely available and seemingly safe we believe it can be considered
in patients with oesophageal obstructions due to food, either as pre-endoscopy treatment or in case endoscopy is
not available at all. We think our findings provide an impetus for prospective research on this intervention
Creator
Eva P. Baerends, Tom Boeije, Anna Van Capelle, Nieke E. Mullaart-Jansen,
Michael D. Burg, Albert J. Bredenoord
Michael D. Burg, Albert J. Bredenoord
Source
www.elsevier.com/locate/afjem
Publisher
AFEM
Date
21 September 2018
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Eva P. Baerends, Tom Boeije, Anna Van Capelle, Nieke E. Mullaart-Jansen,
Michael D. Burg, Albert J. Bredenoord, “Jurnal Internasional Afrika vol. 9 issue 1 2019
African Journal of Emergency Medicine
Cola therapy for oesophageal food bolus impactions a case series,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2372.
African Journal of Emergency Medicine
Cola therapy for oesophageal food bolus impactions a case series,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2372.