title: The contraindications for blind esophageal bouginage for coin ingestion in children.
abstract: Per oral bouginage of the esophagus for coin lodgement in children is a safe and simple mode of therapy. However, our experience with chronically ingested coins, multiple coins ingestion, and ingestion with preexisting esophageal pathology illustrate the potential hazards of such a practice. Intramural perforation, subacute mediastinitis, tracheoesophageal fistula, and long-term residual injury to the esophagus hallmark such cases. We believe that only acutely ingested coins, and only a single coin, can be treated safely by means of "blind" bouginage, provided that no preexisting esophageal disease is present.
authors.affiliation: Department of Pediatric Surgery, Children's Hospital of Wisconsin, Milwaukee 53203.
authors.forename: J Z
authors.initials: JZ
authors.lastname: Jona
authors.forename: M
authors.initials: M
authors.lastname: Glicklich
authors.forename: R D
authors.initials: RD
authors.lastname: Cohen
mesh_terms: D002675:Child, Preschool; D004106:Dilatation / Q000379:methods*; D004945:Esophagoscopy; D004947:Esophagus; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male