Eosinophilic Esophagitis in Children With Previous Foreign B
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A foreign body impacted in the esophagus could be a sign of eosinophilic esophagitis (EoE). The aim was to investigate if children previously diagnosed with a foreign body in the esophagus had a missed diagnosis of EoE.

In this population-based longitudinal study, all children (0–18 years) diagnosed with a foreign body in the esophagus in Stockholm were identified. In addition to a review of medical files, each family was contacted (n = 325) and asked standardized questions. Children with symptoms indicating EoE were offered esophagogastroduodenoscopy (EGD).

Results:
--325 pediatric cases of foreign body were found.

--207 underwent an endoscopy at the event, 3 of these had biopsies taken, whereby 2 were diagnosed with EoE.

--6 additional patients were diagnosed with EoE between the initial event and the study follow-up.

--Children with persisting symptoms suggestive of EoE at the follow-up (n = 21), were offered EGD whereof 7 accepted. 4 new cases of EoE were found.

--Hence, 12 of the children with a previous foreign body, either spontaneously released or endoscopically removed, were diagnosed with EoE.

--In the structured interview, dysphagia, food impactions and drinking excessively with meals, as well as food allergies, were significantly more common in EoE patients.

To summarize, children who have a foreign body in their esophagus are at risk for EoE. During foreign body removal, biopsies should be taken, and concerns about swallowing issues and allergic diseases should be thoroughly investigated, including in children who do not need EGD due to spontaneous release.

Source: https://journals.lww.com/jpgn/Abstract/2021/05000/Long_term_Follow_up_for_Missed_Cases_of.18.aspx
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