Total esophageal food impaction in the era of the COVID-19 pandemic: a delayed presentation in a patient with Parkinson's disease
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Elsevier Ltd
Abstract
Total esophageal food impaction is extremely rare. We report a patient with Parkinsonism who presented with total dysphagia to solids and liquids and with inability to swallow her saliva of 3 days duration. She did not present sooner as she was afraid of contracting COVID-19 during hospitalization. Chest CT scan revealed total esophageal food impaction. Awake fiberoptic endotracheal intubation followed by EGD and clearance of the impacted food were performed. This patient illustrates esophageal involvement in Parkinson's disease, delayed presentation with an emergency in the COVID-19 era, and the multidisciplinary approach to minimize the risk of aspiration during endoscopy. © 2022 Pan-Arab Association of Gastroenterology
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Keywords
Awake fiberoptic endotracheal intubation, Covid-19, Esophageal dysmotility, Parkinson's disease, Total esophageal food impaction, Deglutition disorders, Female, Humans, Pandemics, Parkinson disease, Carbidopa plus levodopa, Adult, Anamnesis, Article, Awake tracheal intubation, Case report, Clinical article, Coronavirus disease 2019, Dysphagia, Endoscopy, Esophageal food impaction, Esophagogastroduodenoscopy, Esophagography, Esophagus disease, Esophagus obstruction, Fiberoptic tracheal intubation, Food, Food intake, Gastroesophageal junction, General anesthesia, Hospital discharge, Hospitalization, Human, Lower esophagus sphincter, Multidisciplinary team, Pandemic, Physical examination, Push enteroscopy, Saliva, Thorax, Upper esophagus sphincter, X-ray computed tomography, Complication