{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T04:09:53Z","timestamp":1789790993371,"version":"4.0.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T00:00:00Z","timestamp":1659916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,24]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Many patients who experience esophageal food impaction (EFI) will have non-endoscopic resolution (NER) of their EFI, but this population is poorly defined. The purpose of this study is to describe the outcomes of patients with NER of EFI. A retrospective chart review from 2007 to 2017 was performed at a single tertiary care center. There were 593 patients who presented to the emergency department with EFI, defined as recent soft food ingestion and inability to tolerate oral secretions. Adequate follow-up was defined as a gastroenterology clinic visit or EGD within 6\u00a0months of EFI. Out of these, 149 patients (25.1%) had NER of their EFI. Patients with NER were less likely to have adequate follow-up than those with ER (45.0% vs. 59.5%, P\u2009=\u20090.003). Of those without established esophageal disease and NER, 92.5% had significant esophageal pathology on endoscopy, including stricture (34.0%), features of eosinophilic esophagitis (30.2%), and esophagitis (22.6%). Recurrent EFI occurred at a similar rate between patients with NER and ER (9.4% vs. 14.6%, P\u2009=\u20090.14). Patients with established esophageal disease (odds ratio [OR]: 1.51, P\u2009=\u20090.04) and recommendation to follow-up at time of EFI (OR: 6.06, P\u2009&amp;lt;\u20090.001) were most likely to follow up after EFI. Approximately, a quarter of patients with EFI will experience NER of their EFI. Virtually, all patients (92.5%) were found to have esophageal disease warranting longitudinal care. Importantly, follow-up rates are significantly lower in those with NER than their counterparts requiring EGD. Our study highlights the need to develop standardized protocols that improve follow-up for patients after NER of EFI.<\/jats:p>","DOI":"10.1093\/dote\/doac054","type":"journal-article","created":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T13:12:44Z","timestamp":1659964364000},"source":"Crossref","is-referenced-by-count":6,"title":["Esophageal disease and loss to follow-up are common among patients who experience non-endoscopic resolution of food impaction"],"prefix":"10.1093","volume":"36","author":[{"given":"Patrick","family":"Hoversten","sequence":"first","affiliation":[{"name":"Department of Medicine , Division of Gastroenterology and Hepatology, , Madison, WI , USA"},{"name":"University of Wisconsin School of Medicine and Public Health , Division of Gastroenterology and Hepatology, , Madison, WI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Lomeli","sequence":"additional","affiliation":[{"name":"Department of Medicine , Division of Gastroenterology and Hepatology, , Madison, WI , USA"},{"name":"University of Wisconsin School of Medicine and Public Health , Division of Gastroenterology and Hepatology, , Madison, WI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee Teo","family":"Broman","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison , Madison, WI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Gaumnitz","sequence":"additional","affiliation":[{"name":"Department of Medicine , Division of Gastroenterology and Hepatology, , Madison, WI , USA"},{"name":"University of Wisconsin School of Medicine and Public Health , Division of Gastroenterology and Hepatology, , Madison, WI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6942-1477","authenticated-orcid":false,"given":"Luke","family":"Hillman","sequence":"additional","affiliation":[{"name":"Department of Medicine , Division of Gastroenterology and Hepatology, , Madison, WI , USA"},{"name":"University of Wisconsin School of Medicine and Public Health , Division of Gastroenterology and Hepatology, , Madison, WI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,8,8]]},"reference":[{"issue":"5","key":"2023022503391476500_","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1016\/j.gie.2011.06.029","article-title":"Esophageal foreign-body impactions: epidemiology, time trends, and the impact of the increasing prevalence of eosinophilic esophagitis","volume":"74","author":"Sperry","year":"2011","journal-title":"Gastrointest 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