{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:44:21Z","timestamp":1761007461395,"version":"build-2065373602"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,19]],"date-time":"2024-10-19T00:00:00Z","timestamp":1729296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Rice products are ubiquitous in the diets of American children and are often utilized to thicken feeds as part of treatments for gastroesophageal reflux disease in infants. However, a 2015 Food and Drug Administration investigation demonstrated that they contain unsafe levels of inorganic arsenic. Inorganic arsenic exposure has been linked to serious health issues including skin, lung, and bladder cancer. Smaller children are put at higher risk due to the increased arsenic\u2010to\u2010weight ratio compared to adults, threatening their development in multiple ways. Other thickeners offer cost\u2010effective, safer alternatives. With this communication, we aim to raise awareness of this issue within the otolaryngology practice thereby bringing us abreast of the best practices of the pediatric and gastrointestinal medical societies who have recommended against the use of rice for thickening feeds, instead advocating for alternate natural thickening agents like wheat or oatmeal.<\/jats:p>","DOI":"10.1002\/ohn.1029","type":"journal-article","created":{"date-parts":[[2024,10,19]],"date-time":"2024-10-19T05:49:07Z","timestamp":1729316947000},"page":"369-371","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Arsenic in Rice: A Call to Change Feeding Substitution Practices for Pediatric Otolaryngology Patients"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3797-6536","authenticated-orcid":false,"given":"Russell W.","family":"De Jong","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery San Antonio Uniformed Services Health Education Consortium San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5090-3086","authenticated-orcid":false,"given":"Kristofer G.","family":"Andren","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery San Antonio Uniformed Services Health Education Consortium San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1217-9795","authenticated-orcid":false,"given":"Patrick T.","family":"Reeves","sequence":"additional","affiliation":[{"name":"Pediatric Colorectal Center, Department of Pediatrics San Antonio Uniformed Services Health Education Consortium San Antonio Texas USA"},{"name":"Uniformed Services University School of Medicine Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5266-7910","authenticated-orcid":false,"given":"Sarah N.","family":"Bowe","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery San Antonio Uniformed Services Health Education Consortium San Antonio Texas USA"},{"name":"Uniformed Services University School of Medicine Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S136898001500018X"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-020-02047-3"},{"key":"e_1_2_6_4_1","unstructured":"DennisS FitzpatrickS.Arsenic in Rice and Rice Products Risk Assessment Report. Arsenic in Rice and Rice Products Risk Assessment. March 2016. Accessed May 5 2024.https:\/\/www.fda.gov\/files\/food\/published\/Arsenic-in-Rice-and-Rice-Products-Risk-Assessment-Report-PDF.pdf"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2903\/j.efsa.2009.1351"},{"issue":"8","key":"e_1_2_6_6_1","first-page":"705","article-title":"Diagnosis and treatment of gastroesophageal reflux in infants and children","volume":"92","author":"Baird DC","year":"2015","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_7_1","unstructured":"AbramsS. Be cautious in using thickening agents for preemies. Aap.org. 2011. Accessed May 19 2024.https:\/\/publications.aap.org\/aapnews\/article-abstract\/32\/7\/23\/24306\/Be-cautious-in-using-thickening-agents-for?redirectedFrom=fulltext"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-019-0697-2"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001889"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.0120"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000502"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.1029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:29:34Z","timestamp":1760966974000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.1029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,19]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/ohn.1029"],"URL":"https:\/\/doi.org\/10.1002\/ohn.1029","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2024,10,19]]},"assertion":[{"value":"2024-09-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}