'Where the money is': a case report of the successful removal of a large number of coins by esophagogastroduodenoscopy utilizing a Roth net.
OBJECTIVE
To demonstrate the use of a Roth net and to determine the maximum number of coins that can be removed per net.


METHODS
During esophagogastroduodenoscopy, a Roth net was passed multiple times in order to retrieve 49 ingested coins without the use of an over tube.


RESULTS
Removal of 49 coins of various sizes was accomplished. The largest of the coins was 2.4 cm. Because of damage to the nets during the withdrawal past the gastroesophageal junction, several nets were required. But, there was minimal trauma to the esophageal mucosa and no complications.


CONCLUSIONS
Removal of ingested foreign objects requires individually tailored treatment. From an extensive literature search, there does not appear to be consensus for standard of care based on the variability of presentation and multiple modalities available for removal.
Raynor
Kathleen M
KM
University of Connecticut Health Center, Farmington, Connecticut 06030, USA.
Wu
George Y
GY
D016145:Endoscopy, Digestive System / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D041742:Upper Gastrointestinal Tract