Table 3 Endoscopic findings at initial endoscopy and treatment of FBO
Endoscopic findings at initial endoscopy during or after FBO | Within the acute hospital visit, % (n = 93) | From discharge to 2 weeks after discharge, % (n = 9) | Later than 2 weeks after, % (n = 17) |
|---|---|---|---|
Food bolus | 84.9% (79) | 22.2% (2) | 5.9% (1) |
Stricture | 12.9% (12) | 11.1% (1) | 5.9% (1) |
Other types of oesophagitis | 9.7% (9) | 11.1% (1) | 5.9% (1) |
Edema | 9.7% (9) | 0% | 5.9% (1) |
White spots | 7.5% (7) | 0% | 0% |
Reflux oesophagitis | 6.5% (6) | 11.1% (1) | 11.8% (2) |
Malignancy | 2.2% (2) | 0% | 0% |
Schatzki rings | 1.1% (1) | 22.2% (2) | 0% |
Exudates | 1.1% (1) | 0% | 0% |
Furrows | 0% | 0% | 5.9% (1) |
Food causing FBO, % (n) | |||
Meat (beef, veal or pork) | 52.0% (78) | ||
Poultry | 13.3% (20) | ||
No clarification or unclear | 10.7% (16) | ||
Combinations of food (e.g., meat and potatoes, chicken and rice) | 8.7% (13) | ||
Vegetables or fruit | 6.0% (9) | ||
Bread | 2.7% (4) | ||
Other: tablets, fish or shellfish, candy, or oats | 6.7% (10) | ||
Treatment of FBO during the acute hospital visit, % (n) | |||
Spontaneous resolution | 7.3% (11) | ||
Treated with 1st step: sparkling water | 68.0% (102) | ||
Sparkling water alone resolved the FBO | 25.3% (38) | ||
Treated with 2nd step: injection of muscle relaxant | 29.3% (44) | ||
Injection of muscle relaxant alone | 0% | ||
Injection of muscle relaxant and sparkling water alone | 10.0% (15) | ||
Needed 3rd step: endoscopic removal of FBO | 48.7% (73) | ||
Endoscopic removal of FBO alone | 14.0% (21) | ||
Oesophageal stent | 0.7% (1) | ||
Treatment initiated at discharge, % (n) | |||
PPI | 49.3% (74) | ||
None | 51.3% (77) | ||
Antimycotics or antibiotics | 6.0% (9) | ||
Oesophageal dilation | 2.0% (3) | ||