Etiology and management of esophageal food impaction: a population based study

被引:38
作者
Gretarsdottir, Helga M. [1 ]
Jonasson, Jon Gunnlaugur [2 ,3 ]
Bjornsson, Einar S. [1 ,3 ]
机构
[1] Natl Univ Hosp Iceland, Div Gastroenterol & Hepatol, Dept Internal Med, IS-108 Reykjavik, Iceland
[2] Natl Univ Hosp Iceland, Dept Pathol, IS-108 Reykjavik, Iceland
[3] Univ Iceland, Natl Univ Hosp Iceland, Fac Med, Reykjavik, Iceland
关键词
dysphagia; eosinophilic esophagitis; food impaction; management; UPPER GASTROINTESTINAL-TRACT; EOSINOPHILIC ESOPHAGITIS; BOLUS IMPACTION; FOREIGN-BODIES; ENDOSCOPIC MANAGEMENT; COMPLICATIONS; EPIDEMIOLOGY; PERFORATION; OUTCOMES; PREVALENCE;
D O I
10.3109/00365521.2014.983159
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Objective. 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. Material and methods. 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. Results. 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). Conclusions. 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.
引用
收藏
页码:513 / 518
页数:6
相关论文
共 33 条
[1]   Management of esophageal foreign bodies: a retrospective review of 400 cases [J].
Athanassiadi, K ;
Gerazounis, M ;
Metaxas, E ;
Kalantzi, N .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2002, 21 (04) :653-656
[2]   Incidence, Presentation, and Outcomes in Patients With Drug-Induced Liver Injury in the General Population of Iceland [J].
Bjornsson, Einar S. ;
Bergmann, Ottar M. ;
Bjornsson, Helgi K. ;
Kvaran, Runar B. ;
Olafsson, Sigurdur .
GASTROENTEROLOGY, 2013, 144 (07) :1419-U168
[3]   Food Bolus Impaction Secondary to Reflux Strictures: A Rural Surgical Experience [J].
Carr, John Alfred ;
Drennan, James A. .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2008, 207 (05) :745-750
[4]   Emergency care of esophageal foreign body impactions: timing, treatment modalities, and resource utilization [J].
Crockett, S. D. ;
Sperry, S. L. W. ;
Miller, C. Brock ;
Shaheen, N. J. ;
Dellon, E. S. .
DISEASES OF THE ESOPHAGUS, 2013, 26 (02) :105-112
[5]   Association of eosinophilic inflammation with esophageal food impaction in adults [J].
Desai, TK ;
Stecevic, V ;
Chang, CH ;
Goldstein, NS ;
Badizadegan, K ;
Furuta, GT .
GASTROINTESTINAL ENDOSCOPY, 2005, 61 (07) :795-801
[6]   Perforation of the esophagus after dilation treatment for dysphagia in a patient with eosinophilic esophagitis [J].
Eisenbach, C. ;
Merle, U. ;
Schirmacher, P. ;
Hansmann, J. ;
Stiehl, A. ;
Stremmel, W. ;
Kulaksiz, H. .
ENDOSCOPY, 2006, 38 :E43-E44
[7]   MANAGEMENT OF INGESTED FOREIGN OBJECTS AND FOOD BOLUS IMPACTIONS [J].
GINSBERG, GG .
GASTROINTESTINAL ENDOSCOPY, 1995, 41 (01) :33-38
[8]  
GIORDANO A, 1981, ARCH OTOLARYNGOL, V107, P249
[9]   Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting [J].
Hreinsson, Johann P. ;
Kalaitzakis, Evangelos ;
Gudmundsson, Sveinn ;
Bjornsson, Einar S. .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2013, 48 (04) :439-447
[10]   Lower gastrointestinal bleeding: incidence, etiology, and outcomes in a population-based setting [J].
Hreinsson, Johann P. ;
Gudmundsson, Sveinn ;
Kalaitzakis, Evangelos ;
Bjoernsson, Einar S. .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2013, 25 (01) :37-43