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- W1977430508 abstract "70 Background: Some children without symptoms of gastroesophageal reflux (GER) present with esophageal foreign bodies and are found to have chronic esophagitis during endoscopy. We reviewed our data to determine the frequency of chronic esophagitis in asymptomatic patients presenting with esophageal foreign bodies. Methods: A retrospective chart review was performed on patients presenting with foreign bodies in the upper gastrointestinal tract (UGIT) during the period of April 1993 to January 1998. Patients with foreign bodies in the stomach or duodenum, and patients whose esophageal foreign bodies were extracted using a balloon catheter in lieu of endoscopy were excluded from the study. Results: Eighty-three patients presented with foreign bodies in the UGIT and 59 patients whose esophageal foreign bodies were retrieved by endoscopy were eligible for analysis. Chronic esophagitis was found in 4/59 patients (7%) all of whom who had no previous history of GER, esophageal dysmotility or neurological compromise. The endoscopic findings suggestive of chronic esophagitis included a thickened mucosa with loss of the normal vascular pattern and vertical lines in the esophageal mucosa (n=2), mucosal erosions and Barrett's epithelium (n=1), and a distal esophageal stricture (n=1). Esophageal biopsies demonstrated severe peptic esophagitis in all 4 patients and Barrett's epithelium in one. Conclusion: Chronic esophagitis may be found incidentally in patients who present with esophageal foreign body impactions. These patients may not have a history of GER but biopsies should be taken when there are mucosal findings suggestive of esophagitis." @default.
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- W1977430508 date "1998-10-01" @default.
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- W1977430508 title "A REVIEW OF THE FREQUENCY OF CHRONIC ESOPHAGITIS IN PEDIATRIC PATIENTS PRESENTING WITH FOREIGN BODIES IN THE ESOPHAGUS" @default.
- W1977430508 doi "https://doi.org/10.1097/00005176-199810000-00090" @default.
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