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Esophageal food impaction in children
Jimmy Lao1, Howard E Bostwick, Stuart Berezin
1Division of Pediatric Gastroenterology and Nutrition, New York Medical College, Munger Pavilion, Room 101, Valhalla, NY 10595, USA.
Pediatric Emergency Care
|December 17, 2003
Summary
Pediatric esophageal food impaction (EFI) rarely involves anatomic issues. Esophagitis and motility disorders may contribute, and endoscopic removal is the recommended safe and effective treatment.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
Background:
- Esophageal food impaction (EFI) is uncommon in children.
- Understanding EFI's presentation and outcomes in pediatric populations is crucial for effective management.
Purpose of the Study:
- To characterize the clinical presentation, diagnostic findings (radiographic, endoscopic, manometric), and outcomes of pediatric EFI.
- To identify potential underlying etiologies and evaluate treatment efficacy.
Main Methods:
- Retrospective review of 12 pediatric patients with EFI over a 10-year period.
- Analysis of clinical data, endoscopic findings, and radiographic/manometric results.
Main Results:
- Most pediatric EFI cases presented to the emergency department.
- Endoscopic removal was required in 11 of 12 patients; spontaneous resolution was rare.
- Esophageal strictures or webs were uncommon; esophagitis and motility abnormalities were noted in some patients.
Conclusions:
- Pediatric EFI is typically not linked to structural esophageal abnormalities.
- Esophagitis and esophageal motility disorders may be contributing factors.
- Endoscopic removal is a safe and effective treatment for pediatric EFI, with a low likelihood of spontaneous resolution.