{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T01:00:47Z","timestamp":1760317247226,"version":"build-2065373602"},"reference-count":16,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The management of oesophageal food bolus impactions (OFBIs) has seen a growing preference for the use of distal attachment caps over traditional devices such as nets, snares and grasping forceps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>Our aim was to evaluate the outcomes of procedural efficiency and cost implications of different endoscopic strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective multicentre review of all adults with soft OFBIs between 2011 and 2021. Data were collected using patient medical records, with 750 patients meeting the inclusion criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 56\u2009years, with a predominance of males (72.3%). Eosinophilic esophagitis (EoE) was the primary cause of OFBI from 2019 onwards, replacing reflux esophagitis. Medical management was attempted in 75.2% of patients. The \u2018push\u2019 technique showed significantly shorter procedure durations compared to \u2018pull\u2019 strategies (25.2 \u00b1\u200919.6 vs 37.0 \u00b1\u200924.7 min; <jats:italic>P<\/jats:italic> &lt;\u20090.001). Cap\u2010based pull strategies resulted in shorter procedure times (30.7 \u00b1\u200916.0 vs 40.2 \u00b1\u200928.0 min; <jats:italic>P<\/jats:italic> =\u20090.002), higher en\u2010bloc removal rates (80.4% vs 19.8%; <jats:italic>P<\/jats:italic> &lt;\u20090.001) and fewer instruments used (1.0 vs 1.5; <jats:italic>P<\/jats:italic> &lt;\u20090.001) compared to conventional strategies without a difference in adverse events. Multivariable regression confirmed cap\u2010assisted techniques, push strategy, and sedation (vs intubation) were independently associated with significantly shorter intervention times. Cost modelling estimated a per\u2010case saving of $439.98 with cap use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cap\u2010assisted endoscopy offers superior clinical efficacy and cost\u2010effectiveness compared to conventional methods. These findings support the routine use of cap\u2010assisted techniques and suggest that a push\u2010based strategy could be considered as the initial approach in the endoscopic management of food bolus impactions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.70185","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T10:28:47Z","timestamp":1756204127000},"page":"1632-1638","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An endoscopic strategy for oesophageal food bolus impactions: a multicentre retrospective study of 750 patients over a decade"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2258-0950","authenticated-orcid":false,"given":"Hardesh","family":"Dhillon","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Barwon Health  Melbourne Victoria 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Gastroenterology Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damian","family":"Dowling","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Robertson","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Peninsula Health  Melbourne Victoria 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