Steak House Syndrome: Case Report And Review Of Management Options.

Abstract

BACKGROUND: Oesophageal meat bolus impaction (Steakhouse Syndrome) is a common Otolaryngologic emergency. The preferred method of treatment is endoscopic removal. This paper reports on the management of an elderly man who presented at a district hospital with no facility for endoscopy. Other management options reported in the literature are reviewed.
METHOD: Case report and review of relevant literature on management of Steakhouse Syndrome.
RESULT: The literature is awash with various treatment options for food impaction in the oesophagus. Endoscopic removal remains the safest. Other options include the use of agents that relaxes the oesophageal sphincter, Use of proteolytic enzymes and the use of effervescent agents.
CONCLUSION: Most cases of Steakhouse Syndrome resolve spontaneously at home. For those that present where there are no facilities for oesophagoscopy, the other options discussed can be employed.

Keywords: Steakhouse Syndrome, Oesophageal meat bolus impaction, oesophagoscopy.

Nigerian Journal of Otorhinolaryngology Vol. 3 (2) 2006: pp. 89-93