La esofagitis eosinofílica como causa de impactación por cuerpo extraño: análisis de nuestra experiencia
作者： R. Lorente Poyatos , A.J. Hernández Albujar , J. Rodríguez Sánchez , C. Verdejo Gil , E. Rodríguez Sánchez
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摘要: espanolIntroduccion: La impactacion del bolo alimentario en el esofago, supone un sintoma de debut frecuente los pacientes con esofagitis eosinofilica (EEo). Este hecho, puede suponer cambio la epidemiologia y manejo clinico esta urgencia endoscopica. Material metodos: Analisis retrospectivo sobre 131 urgencias endoscopicas por cuerpo extrano (CE). Se estudiaron las caracteristicas epidemiologicas, hallazgos endoscopicos, tipo CE, tasa desimpactacion antecedentes 3 anos previos al 2 estudio. El analisis estadistico se realizo mediante test �O t-student. Resultados: pacientes, 65% varones; edad media 56 anos. Hallazgos endoscopicos: 34,4% esofago normal (45/131) 20% endocopicas EEo (26/131). carne fue CE mas (60,3%; 79/131). En impactados alimento sospecha hallazgo endoscopico frecuente. subgrupo diagnostico final presento una menor, que aquellos otras causas (36,47 vs. 64,45; p=0,00), asi como mayor porcentaje (38% 6%; RR= 15,70 IC95%(3,60- 62,50; p=0,00). Conclusion: es hecho nuestra practica clinica. causa a tener cuenta este lo debemos sospecharla ante enfermos bolos alimentarios, jovenes previa. EnglishIntroduction: food bolus impaction in the esophagus, is frequent symptom patients with eosinophilic esophagitis (EEO). This may mean change epidemiology and clinical management of this emergency endoscopy. Methods: Retrospective analysis endoscopic foreign body (FB). We studied epidemiological characteristics, findings, type FB, rate history years preceding survey. Statistical was performed using t-student tests ×2. Results: patients, male, age years. Endoscopic findings: esophagus 34.4% findings EEO Meat most common FB (60.3%, Patients hit by suspected finding. The subgroup impacted diagnosis presented lower than those causes (36.47 64.45, P = 0.00) higher percentage background previous 6%, RR 15.70 95% (from 3.60 to 62.50), p 0.00). Emergency event our practice. case be considered such so we bolus, young impaction.
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