Una disfagia con chispa

  1. Marco-Martínez, Javier 1
  2. García-Klepzig, José Luis 1
  3. López-Salcedo, Andrea 2
  4. Trondin, Alberto 3
  5. Méndez-Bailón, Manuel 1
  1. 1 Servicio de Medicina Interna, Hospital Clínico San Carlos, Madrid, España
  2. 2 Servicio de Otorrinolaringología, Hospital Clínico San Carlos, Madrid, España
  3. 3 Servicio de Neurocirugía, Hospital Clínico San Carlos, Madrid, España
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Journal:
Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

ISSN: 2530-0792

Year of publication: 2016

Issue Title: Spanish Journal of Case Records in Internal Medicine

Volume: 1

Issue: 1

Pages: 1-3

Type: Article

DOI: 10.32818/RECCMI.A1N1A2 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

Abstract

An 81-year-old woman is admitted to Neurosurgery with a severe subarachnoid haemorrhage. She develops mixed dysphagia related to neurological sequelae and the presence of a tracheostomy. An endoscopic study is performed for the placement of a gastrostomy feeding tube showing oesophageal food impactation of a dense material occupying at least half the length of the oesophagus. Poor lung performance made unfeasible the extraction of this material. Removal of the tracheostomy recovered swallowing in our patient and we started her on oral Coca-Cola™ 330 ml daily. A new endoscopic study performed after 4 days showed a normal mucosa of the oesophagus and stomach and de disappearance of the impacted bolus. The patient was discharged eating a normal diet 6 days later.

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