7060 Causitive lesions and long term outcome in patients with esophageal food impaction. an urban hospital experience.

Abstract

Food impaction in the esophagus is a common problem faced by gastrointestinal endoscopists. While much has been written regarding management of these patients there has been little study of the underlying lesion causing the impaction and the long-term outcome in these patients. In attempt to study these issues we reviewed our recent experience with patients presenting with esophageal foreign body impaction. Methods: The computerized records of upper endoscopies performed during the last 2 years at University Medical center were searched for esophageal food impaction or foreign body in either the indication or findings field. Once records were found charts were reviewed to determine age, gender, findings at endoscopy and follow-up care. An attempt was made to reach the patients via telephone to assess any recurrent symptoms and further endoscopy. Results: There were 1435 endoscopic records searched. 17 individuals were identified as having esophageal foreign bodies. Age range 22-85 Male:Female ratio 8:9. The findings were as follows: Schatzki Ring 2 pts Normal 4 pts Esophagitis 11 pts. 8/11 esophagitis patients were re-endoscoped within one week and 6 demonstrated complete resolution of esophagitis. 13 patients were available for f/u