Background: Eosinophilic oesophagitis (EOE) is a known cause of food bolus obstruction (FBO) with rising incidence and prevalence.
Aims: To assess the rates of EOE in adult cases presenting with an FBO via prospective biopsy collection during index endoscopy.
Methods: Oesophageal FBO cases requiring gastroscopy between February 2014 and January 2021 at a single institution with a unified policy to perform biopsies on FBO cases were analysed using medical records, endoscopy and histology. Statistical analysis was undertaken to compare those with and without EOE as their final diagnosis, including the timing of oesophageal biopsy and the season that cases presented.
Results: One hundred ninety FBO presentations were analysed, 15 patients presented twice and one patient presented four times within the 7-year study period. Men represented 72% of cases. A total of 78% of cases had biopsies collected at an index or scheduled follow-up endoscopy. EOE was the cause of the FBO in 28% (53/190) of presentations. FBO secondary to EOE was more likely to occur in the spring and summer months (Australian September to March), with 39% (19 of 49) of cases presenting in spring attributable to EOE.
Conclusion: EOE affects a significant proportion of patients presenting with FBO (28%); a high biopsy rate of 78% in FBO cases provides an opportunity for prompt diagnosis and treatment.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/imj.16306 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Strain-level characterization of foodborne pathogens without culture enrichment for outbreak investigation using shotgun metagenomics facilitated with nanopore adaptive sampling.
Front Microbiol
March 2024
Transversal activities in Applied Genomics, Sciensano, Brussels, Belgium.
Article Synopsis
- Shotgun metagenomics helps find germs in food quickly, but usually needs extra steps to grow the germs first, which can mess up the results.
- Researchers tried a new method called adaptive sampling to avoid growing the germs and just focus on what they want to find in food samples.
- The new method worked better than the old way and helped scientists identify dangerous germs more accurately, making it faster to solve food safety problems.
Eosinophilic oesophagitis: a common cause of food bolus obstruction.
Intern Med J
May 2024
Department of Gastroenterology, Barwon Health, Geelong, Victoria, Australia.
Background: Eosinophilic oesophagitis (EOE) is a known cause of food bolus obstruction (FBO) with rising incidence and prevalence.
Aims: To assess the rates of EOE in adult cases presenting with an FBO via prospective biopsy collection during index endoscopy.
Methods: Oesophageal FBO cases requiring gastroscopy between February 2014 and January 2021 at a single institution with a unified policy to perform biopsies on FBO cases were analysed using medical records, endoscopy and histology.
Transforming Shiga toxin-producing surveillance through whole genome sequencing in food safety practices.
Front Microbiol
July 2023
Transversal Activities in Applied Genomics, Sciensano, Brussels, Belgium.
Introduction: Shiga toxin-producing (STEC) is a gastrointestinal pathogen causing foodborne outbreaks. Whole Genome Sequencing (WGS) in STEC surveillance holds promise in outbreak prevention and confinement, in broadening STEC epidemiology and in contributing to risk assessment and source attribution. However, despite international recommendations, WGS is often restricted to assist outbreak investigation and is not yet fully implemented in food safety surveillance across all European countries, in contrast to for example in the United States.
View Article and Find Full Text PDFSkull Base Involvement in Covid Associated Rhino-Orbital-Cerebral Mucormycosis: A Comprehensive Analysis.
Indian J Otolaryngol Head Neck Surg
April 2023
G.E. Road, Tatibandh, Raipur, Chhattisgarh 492099 India Department of ENT & Head and Neck Surgery, All India Institute of Medical Sciences.
The base of skull forms the first line of barrier to be breached in the transition of rhino-orbito-palatal forms of mucormycosis to intracranial forms with various neurological deficit. The pattern of base of skull erosion has prognostic implications in overall recovery and survival of the patient. The aim of the study was to assess the pattern of skull base involvement in cases of rhino-orbital-cerebral mucormycosis (ROCM) in terms of clinical presentations, radiological findings, intraoperative illustrations and post operative recovery.
View Article and Find Full Text PDFListeria monocytogenes post-outbreak management - When could a food production be considered under control again?
Int J Food Microbiol
October 2022
Unit of Food Microbiology, Institute of Food Safety, Food Technology and Veterinary Public Health, Department of Farm Animal and Public Health in Veterinary Medicine, University of Veterinary Medicine, 1210 Vienna, Austria; Austrian Competence Center for Feed and Food Quality, Safety and Innovation, Technopark 1C, 3430 Tulln, Austria.
In cases of outbreaks, food business operators face inspections, recall actions and delisting by retailers. This could have happened to an Austrian meat processor whose products have been associated with a cluster of seven cases of listeriosis spread over the years 2015-2017. Sequencing of clinical and foodborne isolates by public health specialists raised the suspect of a single source outbreak since all strains were of MLST 155, cgMLST 1234.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!