Korean J Neurogastroenterol Motil.  2003 Dec;9(2):151-154.

A Case of Diffuse Esophageal Spasm with a History of Steakhouse Syndrome

Affiliations
  • 1Department of Internal Medicine, Pusan Veterans Hospital, Korea.
  • 2Department of Internal Medicine, Pusan Adventist Hospital, Korea.
  • 3Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. mipark@ns.kosinmed.or.kr

Abstract

The most common type of food-related foreign body in the esophagus is an impacted meat bolus. Acute esophageal obstruction upon eating poorly chewed meat has been called the "Steakhouse syndrome". A 69-year-old male patient visited the local medical center 2 years ago because of continuously aggravated anterior chest pain with solid and liquid dysphagia for 1 day. At that time, impacted meat like bolus was found in the distal esophagus through endoscopy. After removal of the meat with a polypectomy snare, neither stenosis nor mucosal lesion was noted. He experienced anterior chest pain and acid regurgitation for 2 months, after ceasing medication. The esophageal monometry and ambulatory 24 hr pH monitoring showed diffuse esophageal spasm. Herein, we report a case of diffuse esophageal spasm with a history of Steakhouse syndrome.

Keyword

Steakhouse syndrome; Diffuse esophageal spasm; Esophageal manometry

MeSH Terms

Aged
Chest Pain
Constriction, Pathologic
Deglutition Disorders
Eating
Endoscopy
Esophageal Spasm, Diffuse*
Esophagus
Foreign Bodies
Humans
Hydrogen-Ion Concentration
Male
Meat
SNARE Proteins
SNARE Proteins
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