What are the common causes of esophageal food impaction (EFI) in children? This study investigates the prevalence and underlying conditions associated with EFI, a sudden onset of dysphagia caused by food bolus lodged in the esophagus. Addressing the limited scientific data on EFI in pediatric populations, the research aims to provide further insights into the characteristics and etiology of EFI episodes in children. The study prospectively enrolled children admitted for a first episode of EFI, conducting fluoroscopic contrast studies and esophagogastroduodenoscopies to confirm bolus presence and assess position. Esophageal biopsies were routinely obtained for histologic evaluation. The finding highlight the importance of obtaining esophageal biopsies after the endoscopic bolus removal in children with EFI to provide a complete diagnostic evaluation. Ultimately, this study represents the largest known series of pediatric patients evaluated for food bolus impaction. The results highlight the high frequency of EoE (Eosinophilic Esophagitis), which accounts for a half of EFI episodes in pediatric age, especially in older children, suggesting the importance of thorough diagnostic evaluation in children experiencing EFI. The finding also represent the various related strictures.
This study aligns with Journal of Pediatric Gastroenterology and Nutrition's focus on advancing knowledge and clinical practice in pediatric digestive health. Given its emphasis on esophageal food impaction in children and its underlying causes, the research is highly relevant to the journal's scope.