Evidence map›Paper›PMID 31065372›Full record

ArticleUnited European gastroenterology journal2019

The evolution of treatment and complications of esophageal food impaction.

Daniel A Schupack, Charles J Lenz, Debra M Geno, Crystal J Tholen, Cadman L Leggett, David A Katzka, Jeffrey A Alexander

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Wide discrepancy between best practice recommendations and real-life management of suspected eosinophilic esophagitis-associated food bolus impaction.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  8. Modern endoscopist's toolbox: Innovations in foreign body removal.World journal of gastrointestinal endoscopy · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Total esophageal food impaction in the era of the COVID-19 pandemic: a delayed presentation in a patient with Parkinson's disease.Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology · 2022
    Article
  15. Article
  16. Article
  17. Foreign body ingestion: dos and don'ts.Frontline gastroenterology · 2021
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Daniel A SchupackDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Charles J LenzDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Debra M GenoDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Crystal J TholenDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Cadman L LeggettDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
David A KatzkaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Jeffrey A AlexanderDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · US

Funding

Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

Background: Esophageal food impaction is relatively common and increasing over time. Treatment ranges from medications to invasive endoscopic therapies. The endoscopic push technique has been advised against in favor of endoscopic retrieval for safety concerns. We sought to assess use patterns and safety of treatments for food impaction in a population-based retrospective review. Methods: A database of recorded esophageal food impactions in Olmsted County, MN, USA, from 1975-2011 was reviewed for patient demographics, treatment, and complications. Results: A total of 645 impactions occurred, with increasing incidence over time, peaking at 23.2 per year (2000-2004). Medications (almost exclusively glucagon) were successful in relieving impactions 34.5% of the time when trialed. Urgent endoscopy was common (74.0%), as was the need for endoscopic therapy (67.1%). Endoscopic therapy increased over time, with the endoscopic push technique becoming most common. Esophageal complications (deep mucosal injury or perforation) increased over time but remained rare (peak 11%). There was no difference in complications between push and retrieval techniques. Conclusions: The endoscopic push technique is safe in comparison to endoscopic retrieval in esophageal food impactions. While complications surrounding impaction have increased, they remain rare. Medication trials are reasonable, as long as they do not delay endoscopy, and may prevent the need for emergent endoscopy in one-third of cases.

Indexed as

AdultAgedDeglutition DisordersEndoscopy, Digestive SystemEsophagusFemaleFoodForeign BodiesGastrointestinal AgentsHumansIncidenceMaleMiddle AgedRetrospective StudiesTreatment OutcomeGastrointestinal AgentsEndoscopic therapyeosinophilic esophagitisesophageal complicationsesophageal food impactionnoninvasive therapy

Identifiers

PMID31065372
PMCPMC6488802
OpenAlexW2921508179

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.