DiPalma J A, Brady C E
J Clin Gastroenterol. 1987 Jun;9(3):274-8. doi: 10.1097/00004836-198706000-00006.
Sudden esophageal obstruction after eating poorly chewed meat has been called the Steakhouse syndrome. Some cases have demonstrable esophageal narrowing above which food impacts, but in many patients with identical symptoms no underlying obstruction is demonstrated. We report four patients with acute dysphagia who were unable to swallow liquids or solids for as long as 72-96 h. Onset occurred after eating meat in three patients and after taking psyllium in one. All had a structurally normal esophagus demonstrated by x-ray and endoscopy, but motor disorders were defined by manometry in three. We hypothesize that an underlying motor abnormality led to food impaction and call this presumed spastic variant "Steakhouse spasm." We suspect that this is a common but frequently unrecognized manifestation of esophageal dysmotility.
进食咀嚼不充分的肉类后突发食管梗阻被称为“牛排馆综合征”。部分病例食管存在明显狭窄，其上方有食物嵌顿，但许多有相同症状的患者并未发现潜在梗阻。我们报告4例急性吞咽困难患者，他们长达72 - 96小时无法吞咽液体或固体食物。3例患者在进食肉类后发病，1例在服用车前草后发病。所有患者经X线和内镜检查显示食管结构正常，但3例经测压确定存在运动障碍。我们推测潜在的运动异常导致食物嵌顿，并将这种推测的痉挛变体称为“牛排馆痉挛”。我们怀疑这是食管动力障碍常见但常未被认识的一种表现。
