Exactly the same is legitimate for Unintended effects distinct from mechanical obstruction: if this had happened, someone might have published it. The paper I discussed is "Bay Leaf Impaction within the Esophagus and Hypopharynx" by Stephen K. Buto, MD; Tat-Kin Tsang, MD; Gerald W. Sielaff, MD; Laurie L. Gutstein, MD; and Mick S. Meiselman, MD. Reg