Changing epidemiology of food bolus impaction: Is eosinophilic esophagitis to blame?

Mahesh, V.; Holloway, Richard H.; Nguyen, Nam Q.

doi:10.1111/jgh.12135

Cited by 47 publications

(43 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This might be due in part to an increasing prevalence rate of eosinophilic esophagitis, a condition which poses a risk for food impaction and is more common in younger patients [5,6]. Most patients presenting with esophageal food impaction in our series were men, as previously shown [1,4]. Benign peptic strictures and eosinophilic esophagitis are more common in men [7].…”

Section: Discussionsupporting

confidence: 55%

“…Over an 11-year period, we found that patients undergoing emergency esophagogastroduodenoscopy during periods celebrating cultural holidays and national athletic events were more likely to experience esophageal food impaction (a 10-fold increase compared with periods not associated with these events). Over the past decade, the prevalence of esophageal food impaction has steadily increased by more than 6-fold [2], affecting younger individuals [4]. This might be due in part to an increasing prevalence rate of eosinophilic esophagitis, a condition which poses a risk for food impaction and is more common in younger patients [5,6].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Esophageal food impaction during cultural holidays and national athletic events

Shuja

Winston

Rahman

et al. 2016

Gastroenterology Report

View full text Add to dashboard Cite

Background: Although intrinsic risk factors contributing to esophageal food impaction are well established, whether social behavior affects its occurrence has not yet been examined.Methods: We conducted a retrospective review of the gastroenterology endoscopy procedural documentation software for the period of 2001–2012 to identify all patients who presented to our emergency department for esophageal foreign-body removal at the time of national athletic events and holidays associated with dietary indiscretions.Results: We found that adults undergoing emergent esophagogastroduodenoscopy during periods celebrating cultural holidays and national athletic events were more likely to experience esophageal food impaction compared with those undergoing emergent endoscopy during periods not associated with these events (36.8% vs 3.6%; P < 0.001): a 10-fold increase. During a national holiday/athletic event period, the most common impacted food item was turkey (50%) followed by chicken (29%) and beef (21%).Conclusions: Esophageal food impaction is more likely to occur on American holidays and national athletic events and is associated with large meals. Patients with intrinsic risk factors should be advised to modify their diet during cultural events associated with tachyphagia and large meals to prevent esophageal food impaction.

show abstract

Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Esophageal food impaction during cultural holidays and national athletic events

Shuja

Winston

Rahman

et al. 2016

Gastroenterology Report

View full text Add to dashboard Cite

show abstract

“…There is an increasing awareness that EFI and symptoms suggestive of esophageal dysfunction can be the initial presentation of eosinophilic esophagitis (EoE) [2, 3]. …”

Section: Introductionmentioning

confidence: 99%

Esophageal Food Impaction and Eosinophilic Esophagitis: A Retrospective Study, Systematic Review, and Meta-Analysis

et al. 2015

View full text Add to dashboard Cite

Background Esophageal food impaction (EFI) can be the initial presentation of eosinophilic esophagitis (EoE). EoE is characterized by persistent esophageal eosinophilia (EE). Both EFI and EE are related to a variety of conditions. To date, the relationship between EFI, EE, and EoE remains unclear. Aims To review our institutional experience with EFIs and combine our knowledge with the existing literature to conduct a systematic review and meta-analysis for delineating the relationship between EFI, EE, and EoE. Methods We reviewed medical records of 72 children with EFI presenting to our emergency center between 2007 and 2013. PubMed, EMBASE, and Scopus databases were screened from inception until July 2014 to identify studies linking EFI and EoE. Included studies were methodically assessed for the quality and strength of association between EFI and EoE. Results Our institutional experience highlighted the possibility of proton-pump inhibitor therapy-responsive EE (PPI-REE) as an underrecognized risk factor for EFI. A systematic review of 14 studies, including ours, revealed that most studies did not eliminate other causes of EFI or EE. The meta-analysis revealed that esophageal biopsies were obtained from 54 % (40–68) of individuals presenting with EFI, and the overall EoE-attributable EFI among those who were biopsied was 54 % (43–65). Substantial heterogeneity was noted among the studies. Discussion PPI-REE is an underestimated risk factor for EFI. The quality of existing evidence linking EFI and EoE is limited by several important factors. Future studies with robust design are warranted to delineate the relationship between EFI, EE, and EoE.

show abstract

“…Background : Recent studies have shown an increased prevalence of eosinophilic esophagitis (EO) as a cause of food bolus obstruction. Increasing awareness of this condition, as well as a reduction in peptic‐related strictures, has shifted the epidemiology of food bolus obstruction in the past decade, with a reduction in the age of patients at presentation . However, most current studies of EO in the food bolus obstruction cohorts are based on retrospective data, and thus, prevalence is likely underestimated, as not all presenting patients were biopsied on index endoscopy.…”

Section: Eosinophilic Esophagitis: a Common Cause Of Food Bolus Obstrmentioning

confidence: 99%

Endoscopy Upper

2017

J of Gastro and Hepatol

View full text Add to dashboard Cite

Changing epidemiology of food bolus impaction: Is eosinophilic esophagitis to blame?

Cited by 47 publications

References 24 publications

Esophageal food impaction during cultural holidays and national athletic events

Esophageal food impaction during cultural holidays and national athletic events

Esophageal Food Impaction and Eosinophilic Esophagitis: A Retrospective Study, Systematic Review, and Meta-Analysis

Endoscopy Upper

Contact Info

Product

Resources

About