{"id":209,"date":"2010-10-01T23:10:48","date_gmt":"2010-10-02T03:10:48","guid":{"rendered":"http:\/\/blogstemp3.wpengine.com\/?p=209"},"modified":"2010-10-01T23:10:48","modified_gmt":"2010-10-02T03:10:48","slug":"esophageal-food-impaction-are-you-a-secret-pusher","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/esophageal-food-impaction-are-you-a-secret-pusher\/2010\/10\/01\/","title":{"rendered":"Esophageal food impaction: Are you a secret pusher?"},"content":{"rendered":"<p>I, like most endoscopists, remember being told that you should never push an esophageal food impaction into the stomach but instead all food should be removed first, then the cause of the impaction determined and treated.<\/p>\n<p>Well I suspect that most endoscopists do what I do and that is try and safely push the impaction into the stomach, as removal of the bolus is difficult and frankly more dangerous in my opinion, than a careful attempt at a \u201cpush\u201d. In order to remove the impaction we have to basket it, snare it, grasp it, put an overtube in or combine and or perform other potentially harmful maneuvers. On the other hand, gently sliding by the impaction keeping the esophageal wall in view usually results in the impaction being pushed or dragged into the stomach without the risk of the maneuvers mentioned above.<\/p>\n<p>So I confess-I am a pusher. How many of you out there are pushers and what has been your experience of going against endoscopic dogma and pushing gently or sliding by to remove impactions?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I, like most endoscopists, remember being told that you should never push an esophageal food impaction into the stomach but instead all food should be removed first, then the cause of the impaction determined and treated. Well I suspect that most endoscopists do what I do and that is try and safely push the impaction [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,13],"tags":[],"class_list":["post-209","post","type-post","status-publish","format-standard","hentry","category-endoscopy","category-patient-care"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts\/209","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/comments?post=209"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts\/209\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/media?parent=209"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/categories?post=209"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/tags?post=209"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}