Point of Care Ultrasound for the Detection of Esophageal Food Bolus

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-01

Study Completion Date

2027-01-01

Brief Summary

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This will be a prospective, observational, case-control study of adult patients presenting to the WellSpan York Hospital Emergency Department (YHED) with signs and symptoms of esophageal food or foreign body impaction. Point of care ultrasound (POCUS) will then be performed by a trained emergency physician to collect ultrasound data, including the presence or absence of direct visualization food bolus/foreign body, as well as secondary markers of dilatation, such as maximal esophageal area. Investigators will also enroll an age/sex-matched control group of asymptomatic individuals to establish baseline esophageal measurements.

Patients will otherwise receive medical treatment per standard of care. Subsequent interventions will also be documented, including glucagon, carbonated beverages, and esophagogastroduodenoscopy (EGD). If patients remain in the ED and improve without need for EGD they will undergo repeat ultrasound. Chart review at 1 month will be performed to establish results of EGD including improvement, recurrence, or presence of pathologic abnormalities. The investigators aim to establish normal and abnormal parameters to aid in the diagnosis of esophageal food impactions to predict need for definitive EGD management.

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Detailed Description

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Conditions

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Esophageal Foreign Body Esophageal Obstruction

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Esophageal foreign body/impaction (suspected)

Point of care ultrasound

Intervention Type DIAGNOSTIC_TEST

Point of care medical ultrasound machines will be used to sonographically visualize the esophagus and following sonographic data will be collected:

* Presence/absence of suspected foreign body
* Sonographic esophageal measurements (diameters, area)
* Other relevant secondary sonographic findings

Control (No symptoms of esophageal foreign body/impaction)

Point of care ultrasound

Intervention Type DIAGNOSTIC_TEST

Point of care medical ultrasound machines will be used to sonographically visualize the esophagus and following sonographic data will be collected:

* Presence/absence of suspected foreign body
* Sonographic esophageal measurements (diameters, area)
* Other relevant secondary sonographic findings

Interventions

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Point of care ultrasound

Point of care medical ultrasound machines will be used to sonographically visualize the esophagus and following sonographic data will be collected:

* Presence/absence of suspected foreign body
* Sonographic esophageal measurements (diameters, area)
* Other relevant secondary sonographic findings

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Age ≥18 years
2. Signs and symptoms of esophageal food bolus or foreign body

1. Age ≥18 years
2. NO signs or symptoms of esophageal food bolus or foreign body
3. Age/Sex match to previously enrolled case subject

Exclusion Criteria

1. Prior esophageal surgery
2. History of head/neck cancer
3. Incarcerated individuals
4. Individuals unable to provide consent
5. Clinical instability or airway compromise

Eligibility (CONTROLS)

1. Prior esophageal surgery/dilation/pathology
2. History of head/neck cancer
3. Incarcerated individuals
4. Individuals unable to provide consent
5. Clinical instability or airway compromise
6. Presentation involving any of the following symptoms:
* Nausea/vomiting
* Diarrhea
* Abdominal pain
* Chest pain
* Shortness of breath
* Dysphagia/odynophagia
* Cough

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes