Volume : V, Issue : IV, April - 2015

Acute Esophageal Food Impaction (Aefi) in Elderly Population From Al–Dakahlia Governorate, Egypt : A Single Center Experience

Yahia Zakaria Gad, Salah A. El 45 Gamal

Abstract :

  Impacted FBs in the aerodigestive tract continue to be a common problem that contributes significantly 

to high morbidity and mortality worldwide, particularly, in both extremes of age. In this work, we aimed 
to present our center experience in management of acute esophageal food impaction AEFI in elderly patients. We 
enrolled a total of 18 consecutive elderly patients ( 65ys) presented with 24 hour history compatible with AEFI. The 
patients’ clinical data were collected by reviewing the in–hospital patients’ records. Diagnosis of AEFI relies on history, 
clinical examination, laryngeal movement test, water drinking test, radiographic testing, and endoscopy. Eligible patients were subjected to flexible esophagoscopy under conscious sedation within 24 hours after rapid initial evaluation 
and ensuring patients hemodynamic stability. Meat products were the commonest food impacted mainly in the lower 
part of the esophagus in15 patients (83.33%), followed by the middle part in 3 patients (16.67%). Post–sclerotherapy 
stricture in 8 patients (44.44%), Schatzki’s ring in 3 patients (16.67%) and peptic stricture in 4 patients (22.22%),were 
the commonest associated structural esophageal findings. Esophagoscopy effectively relieved esophageal food impaction by the pushing technique in 7 patients (38.89%), and extraction method in 11 patients (61.11%) either by 
snå or banding vacuum cap with no reported perforation but just few minor complications. In conclusion, our data 
revealed that AEFI is common in our elderly edentulous males. Sclerosant esophageal stricture is the commonest risk 
factor .Early endoscopic intervention is associated with high success rate with low morbidity and no mortality

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Yahia Zakaria Gad, Salah A. El-Gamal Acute Esophageal Food Impaction (Aefi) in Elderly Population From Al–Dakahlia Governorate, Egypt : A Single Center Experience Indian Journal of Applied Research, Vol.5, Issue : 4 April 2015


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