Prevalence of @entity1712 in adults presenting with oesophageal food XXXX .

@entity1712 @entity1 @entity82 @entity484 @entity3355 @entity565 @entity3885 @entity354 @entity221 @entity1491
AIM: To look at the relationship between @entity1712 ( @entity1712 ) and food @entity3355 in adults. METHODS: We retrospectively analysed medical records of 100 consecutive @entity1 who presented to our hospital with oesophageal food @entity3885 (FBO) between 2012 and 2014. In this cohort, 96 were adults (64% male), and 4 paediatric @entity1 were excluded from the analysis as our centre did not have paediatric gastroenterologists. Eighty-five adult @entity1 underwent emergency gastroscopy. The food bolus was either advanced into the stomach using the push technique or retrieved using a standard retrieval net. Biopsies were obtained in 51 @entity1 from the proximal and distal parts of the oesophagus at initial gastroscopy. All biopsy specimens were assessed and reviewed by dedicated gastrointestinal pathologists at the Department of Pathology, University Hospital Geelong. The diagnosis of @entity1712 was defined and established by the presence of the following histological features: (1) peak eosinophil counts > 20/hpf; (2) eosinophil microabscess; (3) superficial layering of eosinophils; (4) extracellular eosinophil granules; (5) @entity1491 ; (6) dilated intercellular spaces; and (7) subepithelial or lamina propria @entity82 . The histology results of the biopsy specimens were accessed from the pathology database of the hospital and recorded for analysis. RESULTS: Our cohort had a median age of 60. Seventeen/51 (33%) @entity1 had evidence of @entity1712 on biopsy findings. The majority of @entity1 with @entity1712 were male (71%). Classical endoscopic features of oesophageal rings, furrows or white plaques and exudates were found in 59% of @entity1 with @entity1712 . Previous episodes of FBO were present in 12/17 @entity1 and 41% had a history of @entity484 , hay @entity221 or @entity565 . @entity354 and benign strictures were found in 20/34 @entity1 who did not have biopsies. CONCLUSION: @entity1712 is present in approximately one third of @entity1 who are admitted with FBO. Biopsies should be performed routinely at index endoscopy in order to pursue this treatable cause of long term morbidity.
