Etiology and management of esophageal food impaction: a population based study.
To access publisher's full text version of this article click on the hyperlink at the bottom of the page Esophageal food impaction (FI) is a common clinical problem with limited information on incidence. Previous population based studies are lacking. The incidence, main etiological factors, rec...
Published in: | Scandinavian Journal of Gastroenterology |
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Online Access: | http://hdl.handle.net/2336/577197 https://doi.org/10.3109/00365521.2014.983159 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/577197 2023-05-15T16:51:49+02:00 Etiology and management of esophageal food impaction: a population based study. Gretarsdottir, Helga M Jonasson, Jon Gunnlaugur Björnsson, Einar S 1 Natl Univ Hosp Iceland, Div Gastroenterol & Hepatol, Dept Internal Med, IS-108 Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 2 Natl Univ Hosp Iceland, Dept Pathol, IS-108 Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 3 Univ Iceland, Natl Univ Hosp Iceland, Fac Med, Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital University of Iceland 2015 http://hdl.handle.net/2336/577197 https://doi.org/10.3109/00365521.2014.983159 en eng Informa Healthcare http://dx.doi.org/ 10.3109/00365521.2014.983159 http://www.tandfonline.com/doi/pdf/10.3109/00365521.2014.983159 Scand. J. Gastroenterol. 2015, 50 (5):513-8 1502-7708 25704642 doi:10.3109/00365521.2014.983159 http://hdl.handle.net/2336/577197 Scandinavian journal of gastroenterology Archived with thanks to Scandinavian journal of gastroenterology Landspitali Access - LSH-aðgangur Deglutition Disorders Eosinophilic Esophagitis Food Article 2015 ftlandspitaliuni https://doi.org/10.3109/00365521.2014.983159 2022-05-29T08:22:06Z To access publisher's full text version of this article click on the hyperlink at the bottom of the page Esophageal food impaction (FI) is a common clinical problem with limited information on incidence. Previous population based studies are lacking. The incidence, main etiological factors, recurrence and outcome of FI was determined in the present study in a population based setting. This was a study of consecutive adult patients who presented with FI from 2008 to 2013 at the National University Hospital of Iceland. The mean crude incidence rate of FI was calculated. Retrospective analysis was undertaken on relevant clinical data such as type of bolus, management, complications, recurrence rate, risk factors for recurrence, and outcome. Overall 308 patients had endoscopically confirmed FI, males 199/308 (65%), median age 62 years. The mean crude incidence was 25 per 100,000 inhabitants per year. The types of FI was meat (68%), fish (12%), vegetable (4%) and other food/objects (16%). Causes for the FI included: esophageal strictures (45%), hiatal hernia (22%), eosinophilic esophagitis (EoE) (16%) and esophageal carcinoma (2%). Recurrence appeared in 21%, in which 24/48 (50%) had EoE vs. 40/260 (15%) in others (p = 0.0001). The removal of the foreign body was successful in 98% of the cases during the first endoscopy. Endoscopic associated complications included four (1.3%) aspirations, one (0.3%) esophageal perforation and one Boerhaave syndrome at presentation (both had EoE). The incidence of FI is the highest reported to date. EoE was strongly associated with recurrence of FI. In a population based setting endoscopy is a safe and effective procedure for removing FI. Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Scandinavian Journal of Gastroenterology 50 5 513 518 |
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Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Deglutition Disorders Eosinophilic Esophagitis Food |
spellingShingle |
Deglutition Disorders Eosinophilic Esophagitis Food Gretarsdottir, Helga M Jonasson, Jon Gunnlaugur Björnsson, Einar S Etiology and management of esophageal food impaction: a population based study. |
topic_facet |
Deglutition Disorders Eosinophilic Esophagitis Food |
description |
To access publisher's full text version of this article click on the hyperlink at the bottom of the page Esophageal food impaction (FI) is a common clinical problem with limited information on incidence. Previous population based studies are lacking. The incidence, main etiological factors, recurrence and outcome of FI was determined in the present study in a population based setting. This was a study of consecutive adult patients who presented with FI from 2008 to 2013 at the National University Hospital of Iceland. The mean crude incidence rate of FI was calculated. Retrospective analysis was undertaken on relevant clinical data such as type of bolus, management, complications, recurrence rate, risk factors for recurrence, and outcome. Overall 308 patients had endoscopically confirmed FI, males 199/308 (65%), median age 62 years. The mean crude incidence was 25 per 100,000 inhabitants per year. The types of FI was meat (68%), fish (12%), vegetable (4%) and other food/objects (16%). Causes for the FI included: esophageal strictures (45%), hiatal hernia (22%), eosinophilic esophagitis (EoE) (16%) and esophageal carcinoma (2%). Recurrence appeared in 21%, in which 24/48 (50%) had EoE vs. 40/260 (15%) in others (p = 0.0001). The removal of the foreign body was successful in 98% of the cases during the first endoscopy. Endoscopic associated complications included four (1.3%) aspirations, one (0.3%) esophageal perforation and one Boerhaave syndrome at presentation (both had EoE). The incidence of FI is the highest reported to date. EoE was strongly associated with recurrence of FI. In a population based setting endoscopy is a safe and effective procedure for removing FI. |
author2 |
1 Natl Univ Hosp Iceland, Div Gastroenterol & Hepatol, Dept Internal Med, IS-108 Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 2 Natl Univ Hosp Iceland, Dept Pathol, IS-108 Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 3 Univ Iceland, Natl Univ Hosp Iceland, Fac Med, Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital University of Iceland |
format |
Article in Journal/Newspaper |
author |
Gretarsdottir, Helga M Jonasson, Jon Gunnlaugur Björnsson, Einar S |
author_facet |
Gretarsdottir, Helga M Jonasson, Jon Gunnlaugur Björnsson, Einar S |
author_sort |
Gretarsdottir, Helga M |
title |
Etiology and management of esophageal food impaction: a population based study. |
title_short |
Etiology and management of esophageal food impaction: a population based study. |
title_full |
Etiology and management of esophageal food impaction: a population based study. |
title_fullStr |
Etiology and management of esophageal food impaction: a population based study. |
title_full_unstemmed |
Etiology and management of esophageal food impaction: a population based study. |
title_sort |
etiology and management of esophageal food impaction: a population based study. |
publisher |
Informa Healthcare |
publishDate |
2015 |
url |
http://hdl.handle.net/2336/577197 https://doi.org/10.3109/00365521.2014.983159 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/ 10.3109/00365521.2014.983159 http://www.tandfonline.com/doi/pdf/10.3109/00365521.2014.983159 Scand. J. Gastroenterol. 2015, 50 (5):513-8 1502-7708 25704642 doi:10.3109/00365521.2014.983159 http://hdl.handle.net/2336/577197 Scandinavian journal of gastroenterology |
op_rights |
Archived with thanks to Scandinavian journal of gastroenterology Landspitali Access - LSH-aðgangur |
op_doi |
https://doi.org/10.3109/00365521.2014.983159 |
container_title |
Scandinavian Journal of Gastroenterology |
container_volume |
50 |
container_issue |
5 |
container_start_page |
513 |
op_container_end_page |
518 |
_version_ |
1766041929555902464 |