Capsule stuck in the esophagus has been stuck not to consider may be reflux esophagitis due to esophageal foreign body sensation, but also may be due to cardia laxity, esophageal cancer and other factors lead to the need for medication, endoscopic treatment, surgical resection, radiotherapy and other ways of treatment.
1. Reflux esophagitis: the capsule stuck in the esophagus has been stuck in the first endoscopy should be done to clarify whether there is really a capsule in the esophagus stagnation, reflux esophagitis can lead to patients appearing in the esophagus foreign body sensation, and there is no real thing stuck in the case there.
At this point, it is necessary to follow the doctor’s instructions to use acid inhibitors such as omeprazole, thioglycollate gel and other mucosal protective agents to assist in the treatment. If necessary, surgical treatment such as fundoplication can be performed.
2. Cardia failure relaxation: patients with cardia failure relaxation have esophageal dysfunction, which makes the lower esophageal sphincter relax insufficiently, and the capsule is stuck in the esophagus and cannot pass smoothly. In severe cases, the capsule needs to be removed through esophageal endoscopy.
It is also necessary to actively treat the primary disease, which is commonly treated with drugs such as nifedipine, and if necessary, endoscopic POME can be taken to relieve the disease.
3. Esophageal cancer: esophageal tumor is a kind of occupying lesion, which will make the esophagus become narrow, resulting in the capsule stuck in the esophagus and cannot go down, and is usually accompanied by symptoms such as difficulty in swallowing and weight loss. It also needs to be removed through esophageal endoscopy, while surgery is needed in the early stage, and patients who cannot undergo surgery can undergo radiotherapy or improve the esophageal narrowing by placing a stent and other methods.
If the patient feels that the capsule is stuck in the esophagus and can not be flushed down, should go to the hospital as soon as possible, under the guidance of the doctor to deal with.