title: Foreign body impaction as presentation of eosinophilic esophagitis.
abstract: Esophageal foreign body is a frequent pediatric presentation, and eosinophilic esophagitis (EoE) is an important underlying disease. To determine characteristics common in the presentation of esophageal foreign body indicative of underlying EoE and reach a recommendation for the appropriate scenario in which to obtain esophageal mucosal biopsy, 312 pediatric esophageal foreign bodies requiring operative removal were reviewed. Patients older than 18 years or with a known history of esophageal surgery or pathology were excluded. Eligibility criteria were met in 271 cases. Twenty-seven patients were biopsied, and 18 were diagnosed with EoE. The following factors were identified in the EoE population: food impaction (89%), older age (average 12.2 years), male sex (78%), atopic disease (61%), previous esophageal foreign body or frequent dysphagia (83%), and endoscopic abnormalities (100%). These factors are all associated with an underlying diagnosis of EoE, and patients meeting these criteria should be strongly considered for intraoperative esophageal mucosal biopsy.
authors: Division of Otolaryngology-Head and Neck Surgery, The University of Utah, Salt Lake City, Utah, USA.
authors: Scott
authors: S
authors: Hudson
authors: Chris
authors: C
authors: Sampson
authors: Harlan R
authors: HR
authors: Muntz
authors: W Daniel
authors: WD
authors: Jackson
authors: Marshall E
authors: ME
authors: Smith
mesh_terms: D000293:Adolescent; D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D057765:Eosinophilic Esophagitis / Q000175:diagnosis / Q000209:etiology*; D004945:Esophagoscopy / Q000379:methods; D004947:Esophagus / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies
keywords: eosinophilic; esophageal foreign body; esophagitis