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(Esophageal Food Bolus Obstruction; Syndrome, Steakhouse)
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- Not chewing your food completely
- Drinking too much alcohol
- Wearing dentures
- Having a physical problem that affects how food moves down the esophagus
- Esophageal motility disorder (achalasia)
- Gastroesophageal reflux disease
Having a condition that affects the esophagus, such as:
- Schatzkis ring—ring of tissue that forms in the lower part of the esophagus
- Esophageal stenosis—narrowing of the esophagus caused by scar tissue
- Hiatal hernia—upper part of the stomach moves up through a small opening into the chest
- Eosinophilic esophagitis—chronic inflammation in the esophagus
- Esophageal cancer or other tumors
- Chest pain
- Difficulty swallowing
- Coughing, gagging, choking
- Drinking a carbonated beverage to help move the bolus into your stomach
- Giving a substance called glucagon by an injection—This will decrease the pressure in your esophagus, allowing the bolus to pass into your stomach.
- Chew slowly and until the food is small enough to safely swallow.
- If you have been diagnosed with a condition that affects your esophagus, get proper care for it.
American Academy of Otolaryngology—Head and Neck Surgery http://www.entnet.org
The American College of Gastroenterology http://www.acg.gi.org
The Canadian Association of Gastroenterology http://www.cag-acg.org
Canadian Society of Otolaryngology http://www.entcanada.org
Belafsky PC, Postma GN, et al. Steakhouse syndrome in a man with a lower esophageal ring and a hiatal hernia. Ear Nose Throat J. 2003;82(2):102.
Chae HS, Lee TK, et al. Two cases of steakhouse syndrome associated with nutcracker esophagus. Dis Esophagus. 2002;15(4):330-333.
DiPalma JA, Brady CE III. Steakhouse spasm. J Clin Gastroenterol. 1987;9(3):274-278.
Esophageal food bolus obstruction (steakhouse syndrome). National Center for Emergency Medicine Informatics. Available at: http://www.ncemi.org/cse0602.htm. Accessed November 22, 2010.
Stadler J, Hölscher AH, et al. The "steakhouse syndrome." Primary and definitive diagnosis and therapy. Surg Endosc. 1989;3(4):195-198.
- Reviewer: Marcin Chwistek, MD
- Review Date: 09/2013
- Update Date: 09/30/2013