Food impaction (FI) is a manifestation of eosinophilic esophagitis (EoE) and requires endoscopic removal. We report the response to nebulized albuterol in five children with EoE and FI. Albuterol (2.5 mg/2 mL) was administered via nebulizer, with instructions to breathe and swallow the aerosol condensate. Four of five patients experienced relief of the impaction. Endoscopy with biopsies performed acutely in one patient and subsequently in the others, confirmed EoE in all patients. This technique represents a novel approach for non-endoscopic management of FI in EoE.
Gunasekaran et al. (Wed,) studied this question.