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• W2912993775 abstract "Introduction: Esophageal foreign body impaction (EFBI) is a relatively common gastrointestinal emergency usually requiring an urgent endoscopic procedure to relieve the impaction. The incidence of EFBI has substantially increased over the last few years. Recurrence rate is estimated to be around 20%, which would predispose to an increased risk of complications related to both repeated episodes and recurrent procedures. Factors associated with recurrence have not been well characterized despite the associated high health care costs. The aim of this study is to identify the factors associated with recurrent EFBI as well as the difference in outcomes and management of recurrent episodes. Methods: This study is a single-center, retrospective, cross-sectional study of patients who presented for EFBI between 10/1/2013 and 9/30/2015. Charts of patients older than 18 years, with ICD-9 diagnosis code 935.1, “Foreign body of the esophagus”, were reviewed. Patients with multiple EFBI episodes at either our institution or with a known history were categorized as having recurrent EFBI. Descriptive statistics were reported as mean (SD) and median (IQR) for continuous variables, and frequency (%) for categorical variables. For continuous variables, Kruskal-Wallis test was used to compare medians. Depending on the distribution of categorical variables, the χ2 test or Fisher's exact test was used to assess the association. Results: Of 131 subjects, 58% were males and the mean age was 55.2 years. 41.2% had recurrent EFBI. Bivariate analysis suggested that multiple episodes were independently associated with a history of eosinophilic esophagitis, peptic strictures, low BMI, NSAID use and chronic dysphagia preceding the episode. No significant independent association was found with age, gender, GERD symptoms, or other medications known to cause esophagitis. Effectiveness of medical and endoscopic therapy was similar. Complication rate and patient disposition were comparable. Conclusion: In this study, predictors of EFBI recurrence included a history of eosinophilic esophagitis, strictures, low BMI, NSAID use, and chronic dysphagia. In contrast to previous studies, male gender, older age, and GERD were not associated with recurrences. Management options and outcomes were comparable. Further research is needed to elucidate factors associated with recurrences to allow a more optimized approach towards preventable factors, helping to reduce the risks and costs of EFBI.Table: Table. Comparison of Single and Multiple Episodes of EFBI" @default.
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• W2912993775 date "2017-10-01" @default.
• W2912993775 modified "2023-09-26" @default.
• W2912993775 title "Clinical and Demographic Factors Associated With Recurrent Esophageal Foreign Body Impaction Episodes: A Retrospective Cross-Sectional Study" @default.
• W2912993775 doi "https://doi.org/10.14309/00000434-201710001-00334" @default.
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