Impaction of a large food bolus in the esophagus may be associated with sudden death.
(1) sudden cardiac death
(2) large food bolus impacted in the esophagus
(3) underlying esophageal disorder
(4) underlying cardiovascular disease
(5) variable minor degrees of aspiration
(1) tracheal compression if impaction is in proximal esophagus
(2) vagal stimulation with bradycardia or cardiac arrhythmias
(3) stress response with tachycardia and hypertension
Esophageal disorders may include:
(1) eosinophilic esophagitis
(2) gastric operation for morbid obesity
(4) other cause of dysmotility
A less sudden death may be associated with esophageal perforation.
(1) cafe coronary (obstruction of airway by food bolus)
(2) regurgitation of food from the stomach into the esophagus at death
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Specialty: Clinical Laboratory, Gastroenterology