Show simple item record

dc.contributor.authorGretarsdottir, Helga M
dc.contributor.authorJonasson, Jon Gunnlaugur
dc.contributor.authorBjörnsson, Einar S
dc.date.accessioned2015-09-11T15:03:39Zen
dc.date.available2015-09-11T15:03:39Zen
dc.date.issued2015-05en
dc.date.submitted2015en
dc.identifier.citationScand. J. Gastroenterol. 2015, 50 (5):513-8en
dc.identifier.issn1502-7708en
dc.identifier.pmid25704642en
dc.identifier.doi10.3109/00365521.2014.983159en
dc.identifier.urihttp://hdl.handle.net/2336/577197en
dc.descriptionTo access publisher's full text version of this article click on the hyperlink at the bottom of the pageen
dc.description.abstractEsophageal 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.
dc.description.abstractThis 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.
dc.description.abstractOverall 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).
dc.description.abstractThe 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.
dc.language.isoenen
dc.publisherInforma Healthcareen
dc.relation.urlhttp://dx.doi.org/ 10.3109/00365521.2014.983159en
dc.relation.urlhttp://www.tandfonline.com/doi/pdf/10.3109/00365521.2014.983159en
dc.rightsArchived with thanks to Scandinavian journal of gastroenterologyen
dc.subject.meshDeglutition Disordersen
dc.subject.meshEosinophilic Esophagitisen
dc.subject.meshFooden
dc.titleEtiology and management of esophageal food impaction: a population based study.en
dc.typeArticleen
dc.contributor.department[ 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 Icelanden
dc.identifier.journalScandinavian journal of gastroenterologyen
dc.rights.accessLandspitali Access - LSH-aðganguren
html.description.abstractEsophageal 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.
html.description.abstractThis 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.
html.description.abstractOverall 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).
html.description.abstractThe 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.


This item appears in the following Collection(s)

Show simple item record