esophageal food impaction...tube or not

What are people's practices on adult patients who come in with esophageal food impactions? These patients are never NPO of course. Fortunately I trust the GI docs I work with and do propofol w/o a tube but I always dread these cases and feel like I'm not following standard of care for a patient who isn't appropriately NPO. When do you decide to intubate?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums