ArticleDigestive diseases and sciences2018
Management of Esophageal Food Impaction Varies Among Gastroenterologists and Affects Identification of Eosinophilic Esophagitis.
Article in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 35 citations in OpenAlex.
- Demographic Differences in Diagnosis of Eosinophilic Esophagitis: A Retrospective Analysis.Laryngoscope investigative otolaryngology · 2026Article
- Subthreshold eosinophilia during food impaction may mask eosinophilic esophagitis: A pediatric case series.JPGN reports · 2026Article
- The Economic Impact of Loss to Follow-Up in Eosinophilic Esophagitis: A Model-Based Analysis from the Perspective of Italian National Health Service.ClinicoEconomics and outcomes research : CEOR · 2026Article
- Investigating Airway Symptoms in Eosinophilic Esophagitis (EoE).The Laryngoscope · 2025Article
- Variability of esophageal food impaction management across pediatric specialties.JPGN reports · 2025Article
- Performing Esophageal Biopsies Is Safe During Upper Endoscopy for Food Impaction but Are Underperformed in Certain Populations.Digestive diseases and sciences · 2024Article
- Association between time from esophageal food impaction to endoscopy and adverse events.Gastrointestinal endoscopy · 2024Article
- Diagnosis of Eosinophilic Esophagitis at the Time of Esophageal Food Impaction.Journal of clinical medicine · 2023Article
- Accurate and timely diagnosis of Eosinophilic Esophagitis improves over time in Europe. An analysis of the EoE CONNECT Registry.United European gastroenterology journal · 2022Article
- EoE Down Under Is Still EoE: Variability in Provider Practice Patterns in Australia and New Zealand Among Pediatric Gastroenterologists.Digestive diseases and sciences · 2021Article
- Red Between the Lines: Evolution of Eosinophilic Esophagitis as a Distinct Clinicopathologic Syndrome.Digestive diseases and sciences · 2020Review
- Recognising eosinophilic oesophagitis as a cause of food bolus obstruction.Frontline gastroenterology · 2020Article
- Recognising eosinophilic oesophagitis.Frontline gastroenterology · 2020Article
- Loss to follow-up after food impaction among patients with and without eosinophilic esophagitis.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2019Article
- A Conceptual Approach to Understanding Treatment Response in Eosinophilic Esophagitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2019Review
- The evolution of treatment and complications of esophageal food impaction.United European gastroenterology journal · 2019Article
- Food Bolus Impaction in the Era of Increased EoE Recognition: Push and Pull, Biopsy and Dilate Before It Is Too Late.Digestive diseases and sciences · 2018Article
- Unmet Needs in Eosinophilic Esophagitis: Do We Still Have Some?Inflammatory intestinal diseasesReview
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5 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
aimsEsophageal food impaction (EFI) is a gastrointestinal emergency requiring immediate evaluation in the emergency room (ER) and an esophagogastroduodenoscopy (EGD) for disimpaction. EFI is also a distinct presenting feature of eosinophilic esophagitis (EoE). This study aimed at understanding the management of EFI among gastroenterologists (GIs) and estimated its impact on identification of EoE in USA.
methodsGIs associated with three major gastroenterology societies based in USA were invited to participate in a web-based survey. Information on the resources available and utilized, and the clinical decision-making process related to management of EFI cases was collected and analyzed.
resultsOf 428 responses, 49% were from pediatric GIs, 86% practiced in the USA, and 78% practiced in an academic setting. Compared to the pediatric GIs, adult GIs were more likely to perform EGD in the emergency room [OR 87.96 (25.43-304.16)] and advance the food bolus into stomach [5.58 (3.08-10.12)]. Only 34% of respondents obtained esophageal biopsies during EGD, and pediatric GIs were more likely to obtain esophageal biopsies [3.49 (1.12-10.84)] compared to adult GIs. In USA, by our conservative estimates, 10,494 patients presenting to ER with EFI and at risk of EoE are likely being missed each year.
conclusionsEFI management varies substantially among GIs associated with three major gastroenterology societies in USA. Based on their practice patterns, the GIs in USA are likely to miss numerous EoE patients presenting to ER with EFI. Our findings highlight the need for developing and disseminating evidence-based EFI management practice guidelines.
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