Oesophageal food bolus impaction in elderly people.
2014
Introduction. The diagnosis of food bolus impaction in the esophagus is based
on the data obtained from the patient, clinical examination, radiographic
diagnosis, and endoscopy. The aim of this study was to examine the influence
of possible factors causing oesophageal impaction of food boluses in elderly
people. Material and Methods. This retrospective study included six male and
eight female patients treated at the Department of Ear, Nose, and Throat
Disease in Novi Sad. Results. Post-corrosive oesophageal stricture was
diagnosed in 28.57% of patients and non-corrosive stricture was found in
21.43%. Total tooth loss was recorded in 64.29% of patients and 14.29% of
patients had partial tooth loss. An impacted food bolus was located at a
distance of 15-25 cm or 30-40 cm distance from the upper incisors in 42.86%
of the study sample. Discussion and conclusion. The impaction of food boluses
in the esophagus is significantly higher in women, usually after 76 years of
age. There is a positive correlation between the presence of oesophageal
stricture and recurrence of food bolus impaction. Partial and total tooth
loss is present in a high percentage but there is no correlation with the
food bolus impaction. Impaction of food bolus was equally found in the upper
and lower third of the oesophagus and it was usually meat. Radiographic
diagnosis should precede each esophagoscopy. Esophagoscopy with rigid
oesophagoscope is a reliable method for the extraction of a bolus of food
from the oesophagus in elderly patients.
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