Causes of bolus impaction in the esophagus

Kirchner, Gabriele I.; Zuber-Jerger, I; Endlicher, Esther; Gelbmann, Cornelia M.; Ott, Claudia; Ruemmele, Petra; Schölmerich, Jürgen; Klebl, Frank

doi:10.1007/s00464-011-1681-6

Cited by 42 publications

(22 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This study showed that a foreign body impaction was more frequent in women [15], whereas it is more frequent in men according to most other studies. Kirchner et al [17] state that the causes of bolus impaction in the oesophagus are eosinophilic oesophagitis and reflux oesophagitis with and without peptic stenosis. Kirchner et al [17] state that the causes of bolus impaction in the oesophagus are eosinophilic oesophagitis and reflux oesophagitis with and without peptic stenosis.…”

Section: Discussionmentioning

confidence: 99%

Oesophageal food bolus impaction in elderly people

Mitrović

Karan²,

Karan³

et al. 2014

Med pregl

View full text Add to dashboard Cite

The impaction of food boluses in the esophagus is significantly higher in women, usually after 76 years of age. There is a positive correlation between the presence of oesophageal stricture and recurrence of food bolus impaction. Partial and total tooth loss is present in a high percentage but there is no correlation with the food bolus impaction. Impaction of food bolus was equally found in the upper and lower third of the oesophagus and it was usually meat. Radiographic diagnosis should precede each esophagoscopy. Esophagoscopy with rigid oesophagoscope is a reliable method for the extraction of a bolus of food from the oesophagus in elderly patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Oesophageal food bolus impaction in elderly people

Mitrović

Karan²,

Karan³

et al. 2014

Med pregl

View full text Add to dashboard Cite

show abstract

“…La discrepancias en las cifras de incidencia pudieran ser explicadas por este hecho, pero no existen trabajos realizados sobre la impactación por CE en nuestro medio que nos sirvan como referencia. La edad media de los pacientes fue de 56 años, dato similar a los publicados previamente 6,12,13 . El bolo de carne fue el CE más frecuente, el 60,3% (79/131), lo cual concuerda con lo publicado en series recientes donde se estima una frecuencia del 42.7 y el 65% 12,13 .…”

Section: Discussionunclassified

“…La edad media de los pacientes fue de 56 años, dato similar a los publicados previamente 6,12,13 . El bolo de carne fue el CE más frecuente, el 60,3% (79/131), lo cual concuerda con lo publicado en series recientes donde se estima una frecuencia del 42.7 y el 65% 12,13 . El hallazgo endoscópico más frecuente fue el anillo de Schatzki (19.8%, 26/131), sin encontrar afección en el 34.4% de los casos (45/131).…”

Section: Discussionunclassified

“…El síntoma predominante en pacientes adultos es la disfagia, la cual aparece en 11 al 100% de los pacientes 15 , mientras que la impactación por bolo alimenticio se da en el 33 al 54% de los casos 16 . No obstante, varios estudios recientes han demostrado la presencia de EoE en el 20 al 54% de los pacientes impactados por bolo alimenticio 6,12,16 .…”

Section: Discussionunclassified

“…Con este razonamiento, Kirchner et al 12 han publicado recientemente un estudio donde toman biopsias de 48 pacientes impactados por bolo alimenticio; en 10 de ellos aprecian infiltración por eosinófilos. Resultados similares encuentran Desai et al 16 en un estudio reciente, los cuales son confirmados por Kerlin et al 6 .…”

Section: Discussionunclassified

See 2 more Smart Citations

Factores predictores de esofagitis eosinofílica en impactación esofágica por bolo alimenticio

Rodríguez-Sánchez

Viedma

Gil

et al. 2013

Revista de Gastroenterología de México

View full text Add to dashboard Cite

show abstract

Esophageal food bolus impaction in children: A 15‐year experience and a review

Privato,

Pezzoli,

Barni

et al. 2024

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

ObjectivesWe aimed to analyze the episodes of esophageal food bolus impaction (EFI) occurred over a time of 15 years in children admitted to a large pediatric emergency department (PED), documenting their clinical presentation, underlying pathology, management, biopsy rate, and follow‐up visits. Additionally, to combine our institutional experience with the existing literature, a comprehensive review was conducted.MethodsWe reviewed the medical records of all children presenting to our PED with EFI from 2010 to 2024. The comprehensive review was guided by the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis statement for systematic reviews. Electronic databases including PubMed/Medline and EMBASE were screened. The data obtained was synthesized to map out the actual status and current literature on pediatric EFI.ResultsWe identified 54 cases of EFI. Overall, 22 patients (41%) had underlying pathology. Previous episodes were reported in 14 cases (26%). Urgent endoscopy was performed in 31 cases (57%). The presence of underlying pathology was associated with the need for endoscopic removal (p = 0.013), as well as the history of previous episodes (p = 0.016). Biopsies were performed in 14 cases (26%). Pediatric gastroenterologists showed a higher rate of performed biopsies compared to surgeons, as well as higher rate of follow‐up visits. An underlying disease was found during later clinical follow‐up in 5 out of 54 cases of EFI (9%). A comprehensive review of 16 studies revealed high rates of underlying pathology and low rates of biopsies and follow‐up visits among children with EFI.ConclusionIncreased vigilance in identifying underlying pathologies in children with EFI is crucial. The importance of performing biopsies, regardless of prior anatomical conditions, and the need for ongoing follow‐up to ensure timely and accurate diagnoses should be addressed through shared protocols.

show abstract

Causes of bolus impaction in the esophagus

Abstract: Bolus impaction is frequently correlated with eosinophilic esophagitis and reflux esophagitis; therefore, diagnostic workup should include esophageal biopsy sampling.

Cited by 42 publications

References 28 publications

Oesophageal food bolus impaction in elderly people

Oesophageal food bolus impaction in elderly people

Factores predictores de esofagitis eosinofílica en impactación esofágica por bolo alimenticio

Esophageal food bolus impaction in children: A 15‐year experience and a review

Contact Info

Product

Resources

About