Pharyngeal coin removal in children.
Two cases of coin extraction from the upper third of the oesophagus are described, using a Foley catheter in the accident and emergency department without complication. Although previously reported, the method is not widely used; indeed many junior doctors appear unaware of it. Coins can be removed from this proximal position provided the operator is confident and swift. This appears to be a safe and useful technique, avoiding the need for hospital admission and anaesthesia. It is worth trying before resorting to endoscopy.
Mason
S M
SM
Accident and Emergency Department, Northern General Hospital, Sheffield.
D002404:Catheterization / Q000295:instrumentation*; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D004947:Esophagus; D005260:Female; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D008505:Medical Staff, Hospital; D010614:Pharynx; D012449:Safety; D013997:Time Factors