Management of ingested foreign bodies and food impactions
Esophageal food bolus impaction is a common gastrointestinal emergency with esophageal food impaction
the third most common non-biliary endoscopic emergency after upper and lower gastrointestinal hemorrhage.
probably is far more responsible than bile stones for obstruction of the outflow tract leading to pain and cholestasis.
Of seven patients who had had esophageal food impaction
at stricture sites (Figure 1), and thus were aware of the contemporary esophageal disease, four patients (28.
Inflammation of the esophagus, as seen in EoE patients, can eventually lead to debilitating esophageal dysfunction, causing difficulty in swallowing, esophageal fibrosis, and food impaction
In adolescents and adults, dysphagia and food impaction
are frequent presenting symptoms.
Eosinophilic esophagitis (EOE) is typically characterized by dysphagia, heartburn, and food impaction
, and in this study the proportions of patients reporting these symptoms at enrollment were 96%, 94%, and 74%, respectively.
Eosinophilic esophagitis: An increasingly recognized cause of dysphagia, food impaction
, and refractory heartburn.
Symptoms of EE can range from severe heartburn, difficulty swallowing, food impaction
in the oesophagus, nausea, vomiting and weight loss.
1) According to an American Gastroenterological Association (AGA) consensus panel, eosinophilic esophagitis is a clinicopathologic disease characterized by (1) symptoms including but not restricted to food impaction
and dysphagia in adults, and feeding intolerance and symptoms of gastroesophageal reflux disease (GERD) in children, and (2) the presence of 15 or more eosinophils/hpf on esophageal mucosal biopsy.
The typical symptoms resemble those of gastroesophageal reflux disease (GERD) and may include vomiting, regurgitation, pain, feeding difficulty, dysphagia, and food impaction
2,4,7,12,17,21) Common causes were tumour overgrowth or ingrowth, food impaction
or granulation tissue formation, stent migration and stent covering disruption.
11] In cases of food impaction
within the esophagus, where the possibility of both perforation and aspiration exists, a nonionic, low-osmolality, water-soluble agent such as iopamidol 41% is recommended.
A pyogenic granuloma can result from hormonal changes, such as in pregnant women or adolescents, or it may be caused by local irritants, such as calculus, orthodontic appliances, and food impaction
(such as rye seeds or popcorn shells).
6 Loss of one or more teeth disturbs the functional balance of the remaining teeth and may result in migration, widening of proximal contacts and food impaction
, bone resorption, occlusal interferences, loss of vertical dimension, altered mastication, anterior overloading, temporomandibular dysfunction with para-functional activities, altered phonetics, aesthetics and psychological problems such as affected self-esteem and confidence which ultimately affects the quality of life.