Food impaction: etiology over 35 years and association with eosinophilic esophagitis - PubMed (original) (raw)

Food impaction: etiology over 35 years and association with eosinophilic esophagitis

C J Lenz et al. Dis Esophagus. 2019.

Erratum in

Abstract

With the emergence of eosinophilic esophagitis (EoE) as a common cause of food impaction (FI) and a presumed increase in incidence of EoE in the population, the effect on the incidence of FI has not been well described. The aim of this study is to describe the incidence of FI and endoscopic findings in these patients and the association with EoE. A population-based retrospective chart review of the Rochester Epidemiology Project database was performed to identify all patients within Olmsted County that presented with FI from 1976 to 2012. A review of all endoscopic findings, biopsy results, and demographic data was performed. 497 patients were identified with FI from 1976 to 2012. The overall incidence of FI has changed from 1976 to 2012 (Fig. 1) (P < 0.001). The peak incidence of 17.12 per 100,000 people occurred in the time period 1995 to 2000. Both the incidence of comorbid gastroesophageal reflux disease (GERD) and proton pump inhibitor (PPI) use increased over the time period of the study (P < 0.001 for both). Of these patients, 188 (46.7%) had no abnormalities on their endoscopy. The most common endoscopic finding was stricture in 71 (17.6%) patients followed closely by Schatzki's ring in 68 (16.9%) patients. 139 patients had biopsies performed within 2 years of FI and 50 (36.0%) of those were diagnosed with EoE. We present for the first time the changing incidence of FI over the last 35 years in a population-based setting. We also demonstrate the rise of EoE as an important clinical consideration in patients with FI.

Keywords: dysphagia; eosinophilic esophagitis; esophagus; food impaction.

© The Author(s) 2018. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus.

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Figures

Figure 1.

Figure 1.

Incidence of food impaction from 1976 to 2012.

Figure 2.

Figure 2.

Endoscopic findings in food impaction as determined at the time of initial endoscopy.

Figure 3.

Figure 3.

Initial endoscopic findings and eventual diagnosis of eosinophilic esophagitis within each endoscopic finding group.

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References

    1. Landres R T, Kuster G G, Strum W B. Eosinophilic esophagitis in a patient with vigorous achalasia. Gastroenterology 1978; 74: 1298–301. - PubMed
    1. Arora A S, Yamazaki K. Eosinophilic esophagitis: asthma of the esophagus? Clin Gastroenterol Hepatol 2004; 2: 523–30. - PubMed
    1. Yakoot M. Eosinophilic digestive disease (EDD) and allergic bronchial asthma; two diseases or expression of one disease in two systems? Ital J Pediatr 2011; 37: 18. - PMC - PubMed
    1. Dellon E S, Gibbs W B, Fritchie K J et al. .. Clinical, endoscopic, and histologic findings distinguish eosinophilic esophagitis from gastroesophageal reflux disease. Clin Gastroenterol Hepatol 2009; 7: 1305–13; quiz 261. - PMC - PubMed
    1. Liacouras C A, Furuta G T, Hirano I et al. .. Eosinophilic esophagitis: updated consensus recommendations for children and adults. J Allergy Clin Immunol 2011; 128: 3–20.e6; quiz 1–2. - PubMed

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