{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T09:34:38Z","timestamp":1740130478410,"version":"3.37.3"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aimed to analyze the episodes of esophageal food bolus impaction (EFI) occurred over a time of 15 years in children admitted to a large pediatric emergency department (PED), documenting their clinical presentation, underlying pathology, management, biopsy rate, and follow\u2010up visits. Additionally, to combine our institutional experience with the existing literature, a comprehensive review was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed the medical records of all children presenting to our PED with EFI from 2010 to 2024. The comprehensive review was guided by the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analysis statement for systematic reviews. Electronic databases including PubMed\/Medline and EMBASE were screened. The data obtained was synthesized to map out the actual status and current literature on pediatric EFI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 54 cases of EFI. Overall, 22 patients (41%) had underlying pathology. Previous episodes were reported in 14 cases (26%). Urgent endoscopy was performed in 31 cases (57%). The presence of underlying pathology was associated with the need for endoscopic removal (<jats:italic>p<\/jats:italic>\u2009=\u20090.013), as well as the history of previous episodes (<jats:italic>p<\/jats:italic>\u2009=\u20090.016). Biopsies were performed in 14 cases (26%). Pediatric gastroenterologists showed a higher rate of performed biopsies compared to surgeons, as well as higher rate of follow\u2010up visits. An underlying disease was found during later clinical follow\u2010up in 5 out of 54 cases of EFI (9%). A comprehensive review of 16 studies revealed high rates of underlying pathology and low rates of biopsies and follow\u2010up visits among children with EFI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Increased vigilance in identifying underlying pathologies in children with EFI is crucial. The importance of performing biopsies, regardless of prior anatomical conditions, and the need for ongoing follow\u2010up to ensure timely and accurate diagnoses should be addressed through shared protocols.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpn3.12409","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T07:16:25Z","timestamp":1731654985000},"page":"57-68","source":"Crossref","is-referenced-by-count":0,"title":["Esophageal food bolus impaction in children: A 15\u2010year experience and a review"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0352-161X","authenticated-orcid":false,"given":"Roberto","family":"Privato","sequence":"first","affiliation":[{"name":"Department of Health Sciences University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Pezzoli","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"Barni","sequence":"additional","affiliation":[{"name":"Allergy Unit Meyer Children's Hospital IRCCS Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Renzo","sequence":"additional","affiliation":[{"name":"Gastroenterology and Nutrition Unit Meyer Children Hospital IRCCS Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Paci","sequence":"additional","affiliation":[{"name":"Gastroenterology and Nutrition Unit Meyer Children Hospital IRCCS Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacopo","family":"Barp","sequence":"additional","affiliation":[{"name":"Gastroenterology and Nutrition Unit Meyer Children Hospital IRCCS Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mattia","family":"Giovannini","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Florence Florence Italy"},{"name":"Allergy Unit Meyer Children's Hospital IRCCS Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedetta","family":"Pessina","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Tomei","sequence":"additional","affiliation":[{"name":"Allergy Unit Meyer Children's Hospital IRCCS Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Scarallo","sequence":"additional","affiliation":[{"name":"Gastroenterology and Nutrition Unit Meyer Children Hospital IRCCS Florence Italy"},{"name":"Department of NEUROFARBA University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Lionetti","sequence":"additional","affiliation":[{"name":"Gastroenterology and Nutrition Unit Meyer Children Hospital IRCCS Florence Italy"},{"name":"Department of NEUROFARBA University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Mori","sequence":"additional","affiliation":[{"name":"Allergy Unit Meyer Children's Hospital IRCCS Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"issue":"2","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1067\/mge.2001.112709","article-title":"Esophageal food impaction: epidemiology and therapy. 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