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Esophageal Food Impactions

This study investigates the underlying organic lesions associated with esophageal food impactions through a retrospective analysis of 40 patients who underwent upper endoscopy. The findings revealed that 67% of patients had endoscopic abnormalities, including peptic esophagitis and strictures, highlighting the importance of thorough evaluation even after spontaneous resolution of impactions. The study underscores the potential for food impaction to indicate unrecognized esophageal conditions.

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14 views1 page

Esophageal Food Impactions

This study investigates the underlying organic lesions associated with esophageal food impactions through a retrospective analysis of 40 patients who underwent upper endoscopy. The findings revealed that 67% of patients had endoscopic abnormalities, including peptic esophagitis and strictures, highlighting the importance of thorough evaluation even after spontaneous resolution of impactions. The study underscores the potential for food impaction to indicate unrecognized esophageal conditions.

Uploaded by

pioneersgastro
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Esophageal food impactions: etiological profile of underlying organic lesions

Introduction : The esophagus is the most common site of foreign body impaction. Food
impactions are the most frequent cause of esophageal foreign bodies, which are most often
the result of esophageal motor pathologies or underlying anatomical anomalies.
The aim of this study is to describe the various underlying organic lesions found in FOGD.

Patients and methods : This is a retrospective and descriptive study conducted in the
gastroenterology department of Ibn Rochd University Hospital in Casablanca, including all
the patients who underwent upper endoscopy for esophageal food impaction, over a 3-year
period from January 2018 to December 2020.

Results : The mean age of our 40 patients was 54 years, with extremes ranging from 17 to 80
years, and a male predominance (sex ratio M/F = 2).
Upper endoscopy revealed 14 cases of peptic esophagitis, i.e. 35% of our patients, 6 cases of
regular strictures, i.e. 15% of our patients, 5 cases of ulcerative esophageal processes highly
suggestive of malignancy, i.e. 12.5% of our patients, 3 cases of Schatzki rings, i.e. 7, 5% of our
patients, 1 case of multiple esophageal diverticula, i.e. 2.5% of our patients, endoscopy
showed no organic abnormality in 11 patients, i.e. 27% of cases, esophageal biopsies were
systematically performed in search of eosinophilic esophagitis.
These food impactions were spontaneously resolved in 23% of cases, endoscopically
extracted in 38%, and pushed into the stomach by the endoscope in 39%.
2 esophageal perforations occurred during the extraction of a chicken bone in one patient,
treated by the placement of 2 clips with good evolution.

Conclusion : Esophageal food impaction may be the revealing mode of an unrecognized


organic lesion of the esophagus, as shown by our work which found endoscopic
abnormalities in 67% of cases, hence the interest of systematically exploring the esophagus
even after spontaneous resolution of food impaction.

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