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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr05.2009.1891.
Published online Jan 13, 2010. doi:  10.1136/bcr.05.2009.1891
PMCID: PMC3029598
Novel treatment (new drug/intervention; established drug/procedure in new situation)
Oesophageal food impaction in achalasia treated with Coca-Cola and nifedipine
Andriani Koumi and Marios Zenon Panos
Euroclinic of Athens, Gastroenterology, Athanassiadou 9, Athens, 11521, Greece
Correspondence to Andriani Koumi, akoumi/at/gmail.com
Abstract
Achalasia is characterised by the loss of peristaltic movement in the distal oesophagus and failure of the lower oesophageal sphincter relaxation, which results in impaired oesophageal emptying. We report a case of a 92-year-old frail woman with a history of achalasia, who presented with acute oesophageal obstruction due to impaction of a large amount of food material. She was treated successfully with nifedipine, in combination with Coca-Cola (original product, not sugar free), so avoiding the risks associated with repeated endoscopic intubation and piecemeal removal of the oesophageal content.
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