Eosinophilic Oesophagitis as an Underlying Cause of Patients Admitted with Food Bolus Obstruction under Otorhinolaryngologists in East of Scotland

  • Misirovs, R. (Speaker)
  • Anna Kamusella (Co-author)
  • Samit Majumdar (Co-author)

Activity: Talk or presentation types › Oral presentation

Description

Patients with food bolus obstruction (FBO) are admitted under Ear, Nose and Throat (ENT), Medical or Surgical teams. In Scotland patients with FBO above sternal notch are admitted under ENT. The main aim during the acute admission is to resolve FBO, nevertheless underlying cause of FBO should be investigated. In literature, eosinophilic oesophagitis (EoE) is the single most common cause of FBO. . A retrospective study of adult FBO admissions to ENT ward in Ninewells Hospital, Dundee, Scotland from year 2016 to 2019. Electronic and paper notes were examined for information on FBO admissions, type of food bolus, interventions performed to resolve FBO and investigations and follow-up used to look for the underlying cause of FBO.. In total there were 120 FBO admissions. Men were 2.16 times more than women. Half required surgical intervention, of those 31% rigid oesophagoscopy (RO) and 69% oesophagogastroduodenoscopy (OGD). Biopsies were taken in half of OGD and in less than 10% of RO. Of all biopsies, 50% had histopathological diagnosis of EoE, although potentially some were EoE negative due to inadequate number of biopsies taken. 84% of patients, in who FBO resolved spontaneously or who did not have OGD with biopsies performed while being inpatient, did not have outpatient follow-up OGD or transnasal oesophagoscopy (TNO) with biopsies arranged.. Biopsies were not taken in all FBO patients undergoing oesophagoscopy, leaving EoE underdiagnosed. Follow-up arrangements were suboptimal to exclude EoE. ENT doctors and OGD endoscopists need to be better informed on significance of EoE in patients presenting with FBO acutely. Patients presenting with FBO should be admitted under gastroenterologists who can perform OGD to resolve FBO and take adequate biopsies to exclude EoE. ENT surgeons should be involved when airway compromise is present due to FBO or a removal of food bolus with OGD has failed.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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