PMID- 32052054
OWN - NLM
STAT- MEDLINE
DCOM- 20210713
LR  - 20210713
IS  - 1442-2050 (Electronic)
IS  - 1120-8694 (Linking)
VI  - 33
IP  - 5
DP  - 2020 May 15
TI  - Outcome, complication and follow-up of patients with esophageal foreign body 
      impaction: an academic institute's 15 years of experience.
LID - doz103 [pii]
LID - 10.1093/dote/doz103 [doi]
AB  - Esophageal foreign body impaction (EFBI) is a gastrointestinal emergency, mostly 
      requiring endoscopic management. The aim of this study is to evaluate the 
      epidemiology, adverse events, and outcomes of patients following the episode of 
      EFBI. All esophagogastroduodenoscopy (EGD) reports of admitted patients for EFBI 
      at the University of Kansas Medical Center between 2003 and 2018 were 
      retrospectively reviewed. Of 204 patients, who met the inclusion criteria, 60% 
      were male and the mean age was 54.7 +/- 17.7 years. The encounter was the first 
      episode of EFBI in 76% of cases. EGD in less than 24 hours of patients' admission 
      was required in 79% of cases. The distal esophagus was the most common site of 
      impaction (44%). Push and pull techniques were used in 38 and 35.2% of cases, 
      respectively, while 11% were managed by a combination of both techniques. 
      Structural causes were the most common etiologic findings including benign 
      strictures and stenosis in 21.5% of patients, followed by Schatzki's ring (7.8%) 
      and hiatal hernia (6.9%). Of all cases, 45% did follow-up in up to 1 year, and 
      biopsy was done in 34% of cases. Out of 43 patients who had endoscopic findings 
      suspicious for eosinophilic esophagitis (EoE), the diagnosis was confirmed by 
      pathology in 37. The rate of recurrence EFBI was significantly higher in patients 
      with EoE (P < 0.001). EFBI-related esophageal adverse events (AEs) occurred in 
      4.9% of cases. Cardiovascular and pulmonary AEs occurred in 1.5 and 2.9%, 
      respectively. Logistic regression did not find any predictor for AEs occurrence. 
      EFBI managed very well with endoscopic treatments. Despite the emerging data 
      about the safety of the push technique, there are still concerns regarding its 
      adverse events especially the risk of perforations. Our study shows no 
      significant difference in adverse events between different types of techniques.
CI  - (c) The Author(s) 2020. Published by Oxford University Press on behalf of 
      International Society for Diseases of the Esophagus. All rights reserved. For 
      permissions, please e-mail: journals.permissions@oup.com.
FAU - Marashi Nia, Seyed Farzad
AU  - Marashi Nia SF
AD  - Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas 
      City, KS, USA.
FAU - Aghaie Meybodi, Mohamad
AU  - Aghaie Meybodi M
AD  - Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas 
      City, KS, USA.
FAU - Sutton, Richard
AU  - Sutton R
AD  - Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas 
      City, KS, USA.
FAU - Bansal, Ajay
AU  - Bansal A
AD  - Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas 
      City, KS, USA.
FAU - Olyaee, Mojtaba
AU  - Olyaee M
AD  - Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas 
      City, KS, USA.
FAU - Hejazi, Reza
AU  - Hejazi R
AD  - Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas 
      City, KS, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Dis Esophagus
JT  - Diseases of the esophagus : official journal of the International Society for 
      Diseases of the Esophagus
JID - 8809160
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Eosinophilic Esophagitis
MH  - Female
MH  - Follow-Up Studies
MH  - *Foreign Bodies/complications/epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
OTO - NOTNLM
OT  - benign esophageal disease
OT  - diseases of the esophagus
OT  - eosinophilic esophagitis
OT  - foreign body
EDAT- 2020/02/14 06:00
MHDA- 2021/07/14 06:00
CRDT- 2020/02/14 06:00
PHST- 2020/02/14 06:00 [pubmed]
PHST- 2021/07/14 06:00 [medline]
PHST- 2020/02/14 06:00 [entrez]
AID - 5734961 [pii]
AID - 10.1093/dote/doz103 [doi]
PST - ppublish
SO  - Dis Esophagus. 2020 May 15;33(5):doz103. doi: 10.1093/dote/doz103.