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Korean J Gastrointest Motil. 2001 Nov;7(2):233-238. Korean. Case Report.
Kim YH , Chae HS , Kim SS , Lee TK , Lee DG , Choo KY , Kim BW , Kim SS , Han SW , Lee CD , Choi KY , Chung IS , Sun HS , Chun KA .
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

The most common type of food-related foreign body in esophagus is impacted meat bolus and sudden esophageal obstruction after eating poorly chewed meat has been called the "steakhouse syndrome". It is frequently caused by underlying esophageal stenosis including abnormal ring, the sequalae of reflux esophagitis, malignancy and rarely esophageal motility disorders. A 55-year-old male patient was admitted to our hospital complaining swallowing difficulty after ingestion of a lump of chicken 3 days ago. Impacted meat bolus was found at distal esophagus on emergency endoscopy. However, there was no definite anatomical stenotic lesion after removal of meat with the polypectomy snare. Esophageal manometry showed segmental, high amplitude of esophageal pressure at lower esophagus with normal peristalsis and occasional triple peaked waves. The manometry finding was consistent with nutcracker esophagus. We report a case of steakhouse syndrome associated by nutcracker esophagus without abnormality on endoscopy and esophagography.

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