The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors
Tarik Alhmoud,1 Sami Ghazaleh,2 Marcel Ghanim,2 Roberta E Redfern3 1Gastroenterology and Hepatology Division, Toledo Hospital, Toledo, OH, USA; 2Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USA; 3Clinical Research Department, Toledo Hospital, Toledo, OH, USACorre...
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ftdovepress:oai:dovepress.com/78268 2023-05-15T18:13:15+02:00 The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors Alhmoud,Tarik Ghazaleh,Sami Ghanim,Marcel Redfern,Roberta E 2022-09-15 text/html https://www.dovepress.com/the-risk-of-esophageal-food-impaction-in-eosinophilic-esophagitis-pati-peer-reviewed-fulltext-article-CEG en eng Dove Press info:eu-repo/semantics/altIdentifier/doi/10.2147/CEG.S364994 https://www.dovepress.com/the-risk-of-esophageal-food-impaction-in-eosinophilic-esophagitis-pati-peer-reviewed-fulltext-article-CEG info:eu-repo/semantics/openAccess Clinical and Experimental Gastroenterology Original Research info:eu-repo/semantics/article 2022 ftdovepress https://doi.org/10.2147/CEG.S364994 2022-12-27T23:36:02Z Tarik Alhmoud,1 Sami Ghazaleh,2 Marcel Ghanim,2 Roberta E Redfern3 1Gastroenterology and Hepatology Division, Toledo Hospital, Toledo, OH, USA; 2Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USA; 3Clinical Research Department, Toledo Hospital, Toledo, OH, USACorrespondence: Tarik Alhmoud, Gastroenterology and Hepatology Division, Toledo Hospital, ProMedica Digestive Health Care, 5700 Monroe St, Suite 103 Sylvania, Toledo, Ohio, 43560, USA, Tel +1 419 841-3301, Fax +1 419 841-7704, Email Tarik.AlhmoudMD@Promedica.org; Tarik.Alhmoud@utoledo.eduBackground: Eosinophilic esophagitis (EoE) patients present with dysphagia and often suffer from esophageal food impaction (EFI). EFI can lead to life-threatening perforation, and requires emergent endoscopic intervention. The aim of this study is to evaluate the risk factors for EFI in EoE patients.Methods: This is a retrospective study performed at a tertiary health-care system. Medical records and endoscopy images of EoE cases were reviewed. Clinical characteristics and outcomes including EFIs were documented. We used Zip-code median household income as a surrogate for patients’ socioeconomic status.Results: A total of 291 EoE cases were included, mean age was 42 years. Most patients (65%) had classic EoE endoscopic findings including linear furrows and/or concentric rings; however, a significant proportion (47%) had findings suggestive of gastroesophageal reflux disease (GERD), such as the presence of erosive-esophagitis, a hiatal hernia or Schatzki’s ring. Forty-eight patients (16%) developed one or more esophageal food impaction (EFI). The risk of EFI was less likely in the absence of furrows and/or rings; odds ratio (OR) = 0.28, 95% CI (0.11, 0.72) [P = 0.008]. Females had less EFI risk; OR = 0.42, 95% CI (0.19, 0.95) [P = 0.04]. The type of medical insurance and socioeconomic status was not associated with EFI risk.Conclusion: EFI risk is higher in EoE patients with esophageal furrows and/or rings and in men. Aggressive ... Article in Journal/Newspaper sami Dove Medical Press Toledo ENVELOPE(-67.317,-67.317,-73.700,-73.700) Monroe ENVELOPE(-46.050,-46.050,-60.600,-60.600) Gerd ENVELOPE(-45.750,-45.750,-60.666,-60.666) Clinical and Experimental Gastroenterology Volume 15 153 161 |
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Clinical and Experimental Gastroenterology Alhmoud,Tarik Ghazaleh,Sami Ghanim,Marcel Redfern,Roberta E The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors |
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Clinical and Experimental Gastroenterology |
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Tarik Alhmoud,1 Sami Ghazaleh,2 Marcel Ghanim,2 Roberta E Redfern3 1Gastroenterology and Hepatology Division, Toledo Hospital, Toledo, OH, USA; 2Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USA; 3Clinical Research Department, Toledo Hospital, Toledo, OH, USACorrespondence: Tarik Alhmoud, Gastroenterology and Hepatology Division, Toledo Hospital, ProMedica Digestive Health Care, 5700 Monroe St, Suite 103 Sylvania, Toledo, Ohio, 43560, USA, Tel +1 419 841-3301, Fax +1 419 841-7704, Email Tarik.AlhmoudMD@Promedica.org; Tarik.Alhmoud@utoledo.eduBackground: Eosinophilic esophagitis (EoE) patients present with dysphagia and often suffer from esophageal food impaction (EFI). EFI can lead to life-threatening perforation, and requires emergent endoscopic intervention. The aim of this study is to evaluate the risk factors for EFI in EoE patients.Methods: This is a retrospective study performed at a tertiary health-care system. Medical records and endoscopy images of EoE cases were reviewed. Clinical characteristics and outcomes including EFIs were documented. We used Zip-code median household income as a surrogate for patients’ socioeconomic status.Results: A total of 291 EoE cases were included, mean age was 42 years. Most patients (65%) had classic EoE endoscopic findings including linear furrows and/or concentric rings; however, a significant proportion (47%) had findings suggestive of gastroesophageal reflux disease (GERD), such as the presence of erosive-esophagitis, a hiatal hernia or Schatzki’s ring. Forty-eight patients (16%) developed one or more esophageal food impaction (EFI). The risk of EFI was less likely in the absence of furrows and/or rings; odds ratio (OR) = 0.28, 95% CI (0.11, 0.72) [P = 0.008]. Females had less EFI risk; OR = 0.42, 95% CI (0.19, 0.95) [P = 0.04]. The type of medical insurance and socioeconomic status was not associated with EFI risk.Conclusion: EFI risk is higher in EoE patients with esophageal furrows and/or rings and in men. Aggressive ... |
format |
Article in Journal/Newspaper |
author |
Alhmoud,Tarik Ghazaleh,Sami Ghanim,Marcel Redfern,Roberta E |
author_facet |
Alhmoud,Tarik Ghazaleh,Sami Ghanim,Marcel Redfern,Roberta E |
author_sort |
Alhmoud,Tarik |
title |
The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors |
title_short |
The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors |
title_full |
The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors |
title_fullStr |
The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors |
title_full_unstemmed |
The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors |
title_sort |
risk of esophageal food impaction in eosinophilic esophagitis patients: the role of clinical and socioeconomic factors |
publisher |
Dove Press |
publishDate |
2022 |
url |
https://www.dovepress.com/the-risk-of-esophageal-food-impaction-in-eosinophilic-esophagitis-pati-peer-reviewed-fulltext-article-CEG |
long_lat |
ENVELOPE(-67.317,-67.317,-73.700,-73.700) ENVELOPE(-46.050,-46.050,-60.600,-60.600) ENVELOPE(-45.750,-45.750,-60.666,-60.666) |
geographic |
Toledo Monroe Gerd |
geographic_facet |
Toledo Monroe Gerd |
genre |
sami |
genre_facet |
sami |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2147/CEG.S364994 https://www.dovepress.com/the-risk-of-esophageal-food-impaction-in-eosinophilic-esophagitis-pati-peer-reviewed-fulltext-article-CEG |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.2147/CEG.S364994 |
container_title |
Clinical and Experimental Gastroenterology |
container_volume |
Volume 15 |
container_start_page |
153 |
op_container_end_page |
161 |
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1766185751406444544 |