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Open Access 16-08-2021 | Endoscopy | Original Article

Is There a Role for Topical Swallowed Steroids upon Emergency Room Admission for Suspected Food Bolus Obstruction in Eosinophilic Esophagitis?

Authors: Philipp Schreiner, MD, Thomas Greuter, Aurora Tatu, Dagmar I. Keller, Alex Straumann, Luc Biedermann

Published in: Dysphagia | Issue 4/2022

Abstract

Since most pharmacological treatments in case of esophageal food impaction (EFI) are unsuccessful, an endoscopy is usually required to resolve EFI. We present the first results of a budesonide orodispersible tablet (BOT) as a medical treatment option before endoscopy. We evaluated all patients with a suspected EFI to receive BOT before emergent endoscopy at a tertiary hospital between March 2019 and June 2020. A total of eight patients received BOT before endoscopy. Mean age was 50.1 years and 87.5% were male. In 38% (3/8) of patients the EFI resolved without endoscopic intervention. No adverse events occurred. After endoscopy, a diagnosis of EoE was established in 75%. This case series demonstrate the potential of BOT as medical rescue therapy in case of EFI.

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Title: Is There a Role for Topical Swallowed Steroids upon Emergency Room Admission for Suspected Food Bolus Obstruction in Eosinophilic Esophagitis?
Authors: Philipp Schreiner, MD
Thomas Greuter
Aurora Tatu
Dagmar I. Keller
Alex Straumann
Luc Biedermann
Publication date: 16-08-2021
Publisher: Springer US
Keywords: Endoscopy
Budesonide
Eosinophilic Esophagitis
Published in: Dysphagia / Issue 4/2022
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-021-10354-9

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Is There a Role for Topical Swallowed Steroids upon Emergency Room Admission for Suspected Food Bolus Obstruction in Eosinophilic Esophagitis?

Abstract

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