Steakhouse Syndrome

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Classification according to ICD-10
K22.4 Dyskinesia of the esophagus
ICD-10 online (WHO version 2019)

When Steakhouse syndrome is a spasm of Speiseröhrenperistaltik in the upper region through which food in the esophagus firmly and immovably enclosed. During the spasm, no food or liquid can get into the stomach , and the saliva has to be spat out.

This is a neurological malfunction that is triggered by larger pieces of unchewed meat or smaller particles such as rice . The cause of these esophageal spasms is unknown; neurological diseases such as Guillain-Barré syndrome or myasthenia gravis can be assumed in the past .

Occasionally, the cramp is resolved through attempts to choke, usually only an endoscopic procedure helps , in which the food particles are carefully pushed a few centimeters deeper so that they can then be transported back into the stomach through normal peristalsis . If the occlusion is stubborn, the foreign body ( bolus ) must be crushed with loops or forceps and pulled out. Because of the risk of aspiration (penetration of saliva and food residues into the windpipe) with the possible consequences of pneumonia , one should not sleep with the cramp.

Steakhouse syndrome should not be confused with occlusion of the stomach ( cardia ), esophagitis, or nutcracker esophagus.

literature

  • C. Hannig, A. Wuttke-Hannig: Diseases of the esophagus. In: S. Feuerbach, J. Freyschmidt (Hrsg.): Handbuch diagnostic radiology. Verlag Springer, 2007, ISBN 3-540-68472-7 , p. 75. Restricted preview in the Google book search
  • H.-K. Biesalski: nutritional medicine. Edition 3, Georg Thieme Verlag, 2004, ISBN 3-131-00293-X , p. 342. Limited preview in the Google book search
  • T. Frieling: Motality disorders of the pharynx and esophagus. In: G. Adler, MP Manns, S. Müller-Lissner, W. Schmiegel (eds.): Clinical gastroenterology and metabolism. Verlag Springer, 2000, ISBN 3-540-65059-8 , p. 64. Limited preview in the Google book search