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Food bolus impaction of the oesophagus (food bolus obstruction (FBO)), is a common gastroenterological emergency and has been increasingly recognised as a complication of eosinophilic oesophagitis (EoE).1 2 The initial management of FBO is to safely expedite relief of obstruction in order to prevent aspiration of gastric contents and oesophageal perforation and, second, to consider the underlying cause in order to inform future management.3 4 It is in this latter case where clinical practice is most divergent, and where consensus and future guidelines are also needed. Failure to identify and then to commence appropriate treatment of EoE not only may lead to recurrent FBO but also may increase the risk of a fibrostenosing form of EoE.2 4
The article by Ntuli et al published in this journal5 emphasises the variability of the clinical …
Contributors Both authors contributed to the writing of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Commissioned; externally peer reviewed.
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