Eosinophilic Esophagitis in Children Needing Emergency Endoscopy for Foreign Body and Food Bolus Impaction

2012 ◽  
Vol 28 (7) ◽  
pp. 611-613 ◽  
Author(s):  
Wael El-Matary ◽  
Hamdy El-Hakim ◽  
Jillian Popel
Keyword(s):  
Foreign Body ◽  
Eosinophilic Esophagitis ◽  
Emergency Endoscopy ◽  
Food Bolus ◽  
Food Bolus Impaction ◽  
Bolus Impaction

scholarly journals Pharmacological Management of Esophageal Food Bolus Impaction

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Yasir Mohammed Khayyat
Keyword(s):  
Foreign Body ◽  
Channel Blockers ◽  
Endoscopic Removal ◽  
Food Bolus ◽  
Pharmacological Management ◽  
Mesh Terms ◽  
Food Bolus Impaction ◽  
Bolus Impaction ◽  
Effervescent Agents ◽  
Manual Review

Background. Soft esophageal bolus impaction is an emergency that requires skilled endoscopic removal if persistent obstructive symptoms do not resolve spontaneously after careful observation. Expedited care of these patients is crucial to avoid respiratory and mechanical complications. Other possible options for management include medical agents used to manage it prior to performing endoscopy if access to endoscopy was not available or declined by the patient.Aim. To review the available pharmacological and other nonmedicinal options and their mechanism of relief for soft esophageal impaction.Method. Pubmed, Medline and Ovid were used for search of MESH terms pertinent including “foreign body, esophageal, esophageal bolus and medical” for pharmacological and non medicinial agents used for management of esophageal soft bolus impaction as well as manual review of the cross-references.Results. Several agents were identified including Buscopan, Glucagon, nitrates, calcium channel blockers, and papaveretum. Non medicinal agents are water, effervescent agents, and papain. No evidence was found to suggest preference or effectiveness of use of a certain pharmacological agent compared to others. Buscopan, Glucagon, benzodiazepines, and nitrates were studied extensively and may be used in selected patients with caution. Use of papain is obsolete in management of soft bolus impaction.

Foreign Body Ingestion

2015 ◽  
Author(s):  
Kunal Jajoo ◽  
Allison R Schulman
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Management Strategies ◽  
The United States ◽  
Foreign Body Ingestion ◽  
Gi Tract ◽  
Food Bolus ◽  
Therapeutic Decisions ◽  
Food Bolus Impaction ◽  
Bolus Impaction

Foreign-body ingestion and food bolus impaction are common causes of esophageal obstruction, with an annual incidence of 13 cases per 100,000, and represent approximately 4% of all emergency endoscopies. Although the majority of foreign bodies that travel to the gastrointestinal (GI) tract will pass spontaneously, 10 to 20% must be removed endoscopically, and 1 to 5% will require surgery. Key diagnostic and therapeutic decisions are based on common factors, including the type of ingested object, number of objects, timing between ingestion and presentation, anatomic location of the object, and presence or absence of symptoms. Complications relating to foreign-body ingestion are typically uncommon; however, the associated morbidity may be severe and occasionally life threatening, and despite the fact that overall mortality has been extremely low, it has been estimated that up to 1,500 deaths occur annually in the United States as a result of foreign-body ingestion. The initial and follow-up management strategies are crucial to preventing morbidity. This review details the epidemiology, etiology and pathophysiology, diagnosis, management, and complications of foreign-body ingestion. Figures show examples of foreign bodies in the esophagus and stomach, three esophageal areas where a foreign body is likely to be impacted, examples of a meat bolus in the esophagus, radiograph of a patient who swallowed one nail and three batteries, and examples of linear erosions of the esophagus and stomach. Tables list the most common GI pathology predisposing individuals to esophageal foreign-body impaction, timing and management of food bolus impaction and foreign-body ingestion, endoscopic management strategies for food bolus impaction and ingested foreign bodies, and radiographic and surgical management strategies for monitoring progress of foreign-body passage through the GI tract. This review contains 5 highly rendered figures, 4 tables, and 78 references.

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

2013 ◽  
Vol 28 (6) ◽  
pp. 963-966 ◽  
Author(s):  
Venkat N Mahesh ◽  
Richard H Holloway ◽  
Nam Quoc Nguyen
Keyword(s):  
Eosinophilic Esophagitis ◽  
Food Bolus ◽  
Food Bolus Impaction ◽  
Bolus Impaction

Management and endoscopic techniques for digestive foreign body and food bolus impaction

2013 ◽  
Vol 45 (7) ◽  
pp. 529-542 ◽  
Author(s):  
Armelle Chauvin ◽  
Jerome Viala ◽  
Philippe Marteau ◽  
Philippe Hermann ◽  
Xavier Dray
Keyword(s):  
Foreign Body ◽  
Food Bolus ◽  
Endoscopic Techniques ◽  
Food Bolus Impaction ◽  
Bolus Impaction

scholarly journals Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract of Adults

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Chih-Chien Yao ◽  
I-Ting Wu ◽  
Lung-Sheng Lu ◽  
Sheng-Chieh Lin ◽  
Chih-Ming Liang ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Endoscopic Management ◽  
Study Cohort ◽  
Food Bolus ◽  
Surgical Interventions ◽  
Asymptomatic Patients ◽  
Food Bolus Impaction ◽  
Bolus Impaction

Background. Foreign object ingestion and food bolus impaction are a common clinical problem. We report our clinical experiences in endoscopic management for adults, foreign body ingestion, and food bolus impaction.Method. A retrospective chart review study was conducted on adult patients with foreign body ingestion and food bolus impaction between January 2011 and November 2014. Patients with incomplete medical records were excluded.Results. A total of 198 patients (226 incidents) were included in the study (male/female: 1.54/1; age 57 ± 16 years). Among them, 168 foreign bodies were found successfully (74.3%). 75.6% of the foreign bodies were located in the esophagus. Food bolus impaction was most common (41.6%). 93.5% of foreign bodies in current study cohort were successfully extracted and 5 patients required surgical interventions. Comparisons between symptomatic and asymptomatic patients revealed that locations of foreign bodies in the pharynx and esophagus were the significant relevant factors (P<0.001). Shorter time taken to initiate endoscopic interventions increased detection rate (289.75 ± 465.94 versus 471.06 ± 659.93 minutes,P=0.028).Conclusion. Endoscopic management is a safe and highly effective procedure in extracting foreign body ingestion and food bolus impaction. Prompt endoscopic interventions can increase the chance of successful foreign bodies’ detection.

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