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Recognising eosinophilic oesophagitis
  1. Ajay Sharma1,
  2. Hamish Philpott2
  1. 1St John of God Midland Hospital, Perth, Western Australia, Australia
  2. 2Northern Adelaide Local Health Network, Adelaide, South Australia, Australia
  1. Correspondence to Dr Hamish Philpott, Northern Adelaide Local Health Network, Adelaide, SA 5000, Australia; lachlanphilpott2003{at}yahoo.com.au

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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 …

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