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Published in: European Archives of Oto-Rhino-Laryngology 4/2007

01-04-2007 | Review Article

Is current UK management of oesophageal food bolus obstruction evidence based? An e-mail survey and literature review

Authors: T. Price, S. E. M. Jones, P. Q. Montgomery

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2007

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Abstract

There is a great deal of variation in individual management of non-sharp oesophageal food bolus obstruction in the United Kingdom. An e-mail survey of consultants and specialist registrars in ENT was carried out to establish current UK practice. A review of the published literature was under-taken to establish whether current practice is evidence based. The majority of practitioners (95%) do not proceed immediately to rigid oesophagoscopy but use antispasmodic drugs (83%), most commonly hyoscine butylbromide (Buscopan®) and diazepam, to try to induce spontaneous passage of the obstruction. There is currently no evidence in the published literature to support the use of these drugs. The use of Buscopan seems to have been encouraged by a misquoted reference in a prominent ENT textbook. Better evidence is needed to establish the best form of treatment for this relatively common problem.
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Metadata
Title
Is current UK management of oesophageal food bolus obstruction evidence based? An e-mail survey and literature review
Authors
T. Price
S. E. M. Jones
P. Q. Montgomery
Publication date
01-04-2007
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 4/2007
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-007-0260-x

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