Mo1185 ESOPHAGEAL DILATION AT THE TIME OF FOOD BOLUS DISIMPACTION IS SAFE AND EFFECTIVE BUT INFREQUENT, OBSERVATIONS FROM LARGE MIDWEST US COHORT

Abstract

Esophageal food bolus impaction (EFBI) is common medical emergency for gastroenterologists. Incidence of EFBI is likely to increase along with the prevalence of gastroesophageal reflux disease and eosinophilic esophagitis (EOE). As per current clinical practice guidelines, esophageal dilation after food bolus disimpaction is safe in most cases. However, in clinical practice, many forego dilation at the time of disimpaction due to concerns of esophageal perforation. It is a common practice to repeat endoscopy in 4-8 weeks for interval dilation, adding the cost of additional endoscopy. Here, we report the largest cohort of food bolus impaction to date and assess the safety of dilation at the time of disimpaction and recurrence of EFBI prior to scheduled interval dilation.