호두까기 식도증과 동반된 Steakhouse Syndrome 1 예

• Published in: Journal of neurogastroenterology and motility Vol. 7; no. 2; pp. 233 - 238
• Main Authors: 김영환, Young Hwan Kim, 채현석, Hiun Suk Chae, 김순섭, Sun Sub Kim, 이태규, Tae Kyu Lee, 이동건, Dong Gun Lee, 추교영, Kyo Young Choo, 김병욱, Byung Wook Kim, 김성수, Sung Soo Kim, 한석원, Sok Won Han, 이창돈, Chang Don Lee, 최규용, Kyu Yong Choi, 정인식, In Sik Chung, 선희식, Hee Sik Sun, 천경아, Kyung Ah Chu
• Format: Journal Article
• Language: Korean
• Published: 대한소화기기능성질환·운동학회 24.11.2001
• Subjects: Esophageal manometry; Nutcracker syndrome; Steakhouse syndrome
• ISSN: 2093-0879

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. (Korean Journal of Gastrointestinal Motility 2001;7:233-238)