3529 UNDERLYING ESOPHOGEAL PATHOLOGY IN MEAT IMPACTION.

Abstract

Goal:To determine the underlying pathology responsible for dysphagia in patients who presented with meat impaction to Wilford Hall Medical Center and Brooke Army Medical Center(2 military hospitals in San Antonio, TX). Methods:All endoscopy and pathology reports from esophogeal meat impactions were reviewed retrospectively from a 3 year period. All repeat endoscopies and other studies were reviewed to determine an etiology for the meat impaction. Results: There were 70 meat impaction cases in the time period. 81.4%(57/70) had a repeat endoscopy performed and 22.9%(16/70) had biopsies taken. 71.4%(50/70) had dilation performed at index or subsequent endoscopy. A summary of underlying pathology is listed in table 1. Conclusions: At our two institutions, nearly 75% of all meat impactions were caused by either peptic strictures or esophogeal webs/rings. Another 20% of patients had no visible pathology on endoscopy. Rare causes noted included malignancy, a non-specific motor disorder, and recently banded varices. The data indicate nearly 95% of all meat impactions reveal common or no pathology at endoscopy. Goal:To determine the underlying pathology responsible for dysphagia in patients who presented with meat impaction to Wilford Hall Medical Center and Brooke Army Medical Center(2 military hospitals in San Antonio, TX). Methods:All endoscopy and pathology reports from esophogeal meat impactions were reviewed retrospectively from a 3 year period. All repeat endoscopies and other studies were reviewed to determine an etiology for the meat impaction. Results: There were 70 meat impaction cases in the time period. 81.4%(57/70) had a repeat endoscopy performed and 22.9%(16/70) had biopsies taken. 71.4%(50/70) had dilation performed at index or subsequent endoscopy. A summary of underlying pathology is listed in table 1. Conclusions: At our two institutions, nearly 75% of all meat impactions were caused by either peptic strictures or esophogeal webs/rings. Another 20% of patients had no visible pathology on endoscopy. Rare causes noted included malignancy, a non-specific motor disorder, and recently banded varices. The data indicate nearly 95% of all meat impactions reveal common or no pathology at endoscopy.