Kirchner, Gabriele I. and Zuber-Jerger, Ina and Endlicher, Esther and Gelbmann, Cornelia and Ott, Claudia and Ruemmele, Petra and Schoelmerich, Jurgen and Klebl, Frank (2011) Causes of bolus impaction in the esophagus. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 25 (10). pp. 3170-3174. ISSN 0930-2794,
Full text not available from this repository. (Request a copy)Abstract
Background Bolus impaction in the esophagus is a common indication for emergency endoscopy. The aim of this study was to determine the most common causes of esophageal bolus impaction. Methods In this retrospective study, data of 54 patients (41 male, 13 female) with bolus impaction in the esophagus were analyzed. Type and localization of the bolus and the endoscopic extraction tool used were evaluated. In 48 of 54 patients (89%), biopsy samples were taken of the esophagus for histological examination. Results Mean age of the patients was 53 +/- A 20 years. Fourteen of 54 patients (26%) had experienced bolus impaction previously. Meat bolus (n = 35, 65%) was the most common cause of esophageal obstruction. In most cases, boluses were found in either the distal (n = 31) or the proximal (n = 18) esophagus. In 22 patients (41%), the bolus was pushed into the stomach by the endoscope. In most other cases the bolus, including foreign bodies, could be removed with the 5-arm polyp grasper or alligator forceps. Main causes of bolus impaction were eosinophilic esophagitis (n = 10) or reflux disease with or without peptic stenosis (n = 10), respectively. Conclusion Bolus impaction is frequently correlated with eosinophilic esophagitis and reflux esophagitis; therefore, diagnostic workup should include esophageal biopsy sampling.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | UPPER GASTROINTESTINAL-TRACT; EOSINOPHILIC ESOPHAGITIS; FOREIGN-BODIES; FOOD IMPACTION; MANAGEMENT; ADULTS; FLUTICASONE; OBSTRUCTION; DYSPHAGIA; MEAT; Bolus impaction; Eosinophilic esophagitis; Peptic stenosis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I Medicine > Lehrstuhl für Pathologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 May 2020 06:50 |
| Last Modified: | 29 May 2020 06:50 |
| URI: | https://pred.uni-regensburg.de/id/eprint/20087 |
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