Radiologic treatment of esophageal food impaction using intravenous glucagon.

Abstract

Obstructing esophageal food impaction was successfully relieved in 3 patients by the administration of intravenous glucagon. Since proteolytic enzyme digestion of bolus impaction carries a clear risk of fatal esophageal perforation, early therapeutic administration of glucagon during initial esophagography affords a safe and effective acute-care radiologic adjunct. Advantages include immediate diagnosis and therapy, effectiveness in meat and vegetable impactions, and safety for repeated doses. A glucagon-papain combination is suggested as a routine regimen during standard efforts at enzymatic disimpaction.

• Authors: J T Ferrucci Jr, J A Long Jr
• Journal: Radiology (Radiology) Vol. 125 Issue 1 Pg. 25-8 (Oct 1977) ISSN: 0033-8419 [Print] United States
• PMID: 897179 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucagon
• Papain

Topics

• Adult
• Aged
• Esophagus (diagnostic imaging)
• Female
• Food
• Foreign Bodies (diagnostic imaging, therapy)
• Glucagon (therapeutic use)
• Humans
• Male
• Middle Aged
• Papain (adverse effects, therapeutic use)
• Radiography