A case study of Acute Oesophageal Obstruction - Gastroscopy
A 80yr old male came with H/o sudden onset vomitting of food contents after ingestion of Mutton biryani 2 days ago. Patient couldnt evevn swallow liquids. There was H/o similar episode 1 year and six months ago. During that setting meat bolus was pushed forward.
At this time he was posted for Gastroscopic removal of meat bolus under sedation. We tried to push it forward but with no success. So plan to push it forward was abandonned and we tried to remove it peace meal. But even after 30 minutes of struggle we were unable to remove it. So we thought that cause of obstruction would either br groth, stricture or achalsia. Procedure was abandonned and a detailed account of previous obstruction was taken. Previous most OGD scopy which was available was normal. It did not suggest any of above findings. Upon detailed account of latest obstruction and advice given by doctors, one of the relative told that patient was advised for Bougie dilatation. This confirmed our diagnosis that it was gradually narrowing stricture and was not justifiable to push it. Now patient was kept NBM overnight and procedure was conducted under GA to remove the meat bolusmwhich took more than 2 and a half hour. Stricture was confirmed and patient was advised for Bougie dilatation.
COMMENTS (58)
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