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Results: Food bolus obstruction was associated with peptic strictures (69%), Schatzki's rings (19%), and tight fundoplications (3%). No narrowing was seen in 9%. Extraction, scope push and Savary push methods were successful in seven of 16, 48 of 48, and 20 of 20 at tempts, respectively. The mean duration, including stricture dilation (±1 standard deviation), for the ex traction, scope push and Savary push procedures were 32 (±17), 18 (±14) and 27 (±15) mm, respectively. No cases of perforation, hemorrhage, oxygen desaturation, aspiration, or pneumonia occurred.

Conclusions: Management of esophageal food bolus ob structions by modified push methods and esophageal di lation in the same session appears to be effective, effi cient and safe. The methods employed should be indi vidualized for each patient. Push methods require ex perience and judgment.