Oesophageal food impaction in achalasia treated with Coca-Cola and nifedipine

Achalasia is characterised by the loss of peristaltic movement in the distal oesophagus and failure of the lower oesophageal sphincter relaxation, which results in impaired oesophageal emptying. We report a case of a 92-year-old frail woman with a history of achalasia, who presented with acute oesop...

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Bibliographic Details
Published in:	BMJ case reports Vol. 2010; no. feb02 1; p. bcr0520091891
Main Authors:	Koumi, Andriani, Panos, Marios Zenon
Format:	Journal Article
Language:	English
Published:	England BMJ Publishing Group LTD 2010 BMJ Publishing Group
Series:	Novel treatment (new drug/intervention; established drug/procedure in new situation)
Subjects:	80 Years Endoscopy Europe (West) Female Food Frailty Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation) Patients White
Online Access:	Get full text
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Summary:	Achalasia is characterised by the loss of peristaltic movement in the distal oesophagus and failure of the lower oesophageal sphincter relaxation, which results in impaired oesophageal emptying. We report a case of a 92-year-old frail woman with a history of achalasia, who presented with acute oesophageal obstruction due to impaction of a large amount of food material. She was treated successfully with nifedipine, in combination with Coca-Cola (original product, not sugar free), so avoiding the risks associated with repeated endoscopic intubation and piecemeal removal of the oesophageal content.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr.05.2009.1891