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Propofol administration is safe in adult eosinophilic esophagitis patients sensitized to egg, soy, or peanut
Author(s) -
MolinaInfante J.,
Arias A.,
VaraBrenes D.,
PradosManzano R.,
GonzalezCervera J.,
AlvaradoArenas M.,
Lucendo A. J.
Publication year - 2014
Publication title -
allergy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.363
H-Index - 173
eISSN - 1398-9995
pISSN - 0105-4538
DOI - 10.1111/all.12360
Subject(s) - eosinophilic esophagitis , medicine , propofol , peanut allergy , tolerability , sedation , anesthesia , esophagogastroduodenoscopy , bronchospasm , adverse effect , allergy , egg allergy , food allergy , asthma , antihistamine , gastroenterology , endoscopy , immunology , disease
Background Sedation might improve tolerability and adherence to endoscopic procedures in patients with eosinophilic esophagitis ( E o E ). Propofol administration is often contraindicated in patients with hypersensitivity to egg, soy, or peanut. Objective To investigate the safety of propofol administration for procedural sedation in E o E patients sensitized/allergic to egg, soy, peanut. Methods A retrospective observational study in adult E o E patients undergoing esophagogastroduodenoscopy with propofol sedation was conducted between January 2009 and M arch 2013. Food‐specific serum I g E and skin prick tests for egg, soy, peanut, and cross‐reactant foods were performed in all patients. Results Sixty E o E adult patients, mostly on food elimination diets (91%), were evaluated (age: 28 years (14–56), male gender (90%)). Atopy was present in 88% of patients, being the most prevalent comorbidities rhinoconjunctivitis (78%) and asthma (67%). Fifty‐two patients (86%) were sensitized to either egg, soy, or peanut. Eighteen patients (28%) had a history of allergic reactions to egg, legumes, and nuts and strictly avoided these foods. A total of 404 upper endoscopies were performed under propofol sedation. No allergic adverse events were reported, except a transient bronchospasm after orotracheal intubation in an asthmatic adolescent receiving multiple drugs for anesthesia, in whom no sensitization to either propofol or its lipid vehicle was confirmed. Conclusions Propofol was safely administered for procedural sedation in a large series of adult E o E patients multisensitized to egg, soy, peanut, showing one‐third clinical allergy to these foods.