Abstract
Eosinophilic Esophagitis (EE) is an emerging cause of esophageal food impaction (EFI) not accounted for in previous studies. We sought to determine the causes of EFI in a recent cohort with recognition of EE. A retrospective chart review of all patients with EFI during the past 5 years was performed. Etiology was determined by endoscopy report, pathology results, and follow-up studies. A total of 85 EFIs occurred, in 79 patients (55 men, 30 women, age 18–100). The most common etiologies of EFI were Schatzki's ring (n=18), peptic stricture (n=18), EE (n=9), esophagitis (n=9), and no underlying diagnosis (n=20). EE was significantly more frequent in men (P < .025) and those <50 years old (P < .025). There was a significant difference in the age at which men (median age=44) and women (median age=71) present with EFI (P < .001). The etiology of EFI differs significantly by age and gender. This information may be useful in evaluation and management of EFI.
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Byrne, K.R., Panagiotakis, P.H., Hilden, K. et al. Retrospective Analysis of Esophageal Food Impaction: Differences in Etiology by Age and Gender. Dig Dis Sci 52, 717–721 (2007). https://doi.org/10.1007/s10620-006-9499-0
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DOI: https://doi.org/10.1007/s10620-006-9499-0