Obstruction of the esophagus in a patient with achalasia may be associated with the retention of a large amount of food in the esophagus. The mechanical removal of such material through the esophagoscope may be a tedious and a dangerous problem if much food in particles of moderate size is present. The removal of accumulated food in a patient with achalasia, however, was readily accomplished by the instillation of trypsin (Tryptar) into the esophagus. The use of an airvent suction system in conjunction with the trypsin offered an additional advantage in that possible aspiration of digested food into the lungs was prevented.
REPORT OF A CASE
A 50-year-old white man was admitted to the hospital on Sept. 3, 1953, with a chief complaint of progressively severe inability to swallow solid food of about one year's duration. The roentgenograms of the esophagus after the administration of barium showed a stricture about
MILLER JM, GODFREY GC. Treatment of Impaction of Cooked Meat in the Esophagus with Trypsin. AMA Arch Otolaryngol. 1955;62(2):202–203. doi:10.1001/archotol.1955.03830020084015