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Ji Hyun Kang, M.D., Hae Jung Jung, M.D., Jin Kyung Suh, M.D., Jun Seok Park, M.D., Hyo Jung Park, M.D., Mi Ae Chu, M.D., Seung Man Cho, M.D., Byung Ho Choe, M.D.
Abstract
Purpose
This study evaluated the efficiency and safety of the Foley catheter for esophageal removal of coins in children, compared to standard endoscopic extraction with respect to success rate, sedation, promptness and cost.
Methods
Twenty four children with coin lodgement in esophagus were managed with either a Foley catheter (n=14) or endoscopic extraction (n=10) from January 2007 through August 2010 at Kyungpook National University Hospital. A retrospective review of medical records and radiological findings was performed.
Results
Of the 14 patients who underwent Foley catheter extraction, successful and complication-free removal was achieved in 10 cases (71.4%). Of the 10 patients who underwent endoscopic extraction, all cases were successful (p=0.114). Sedation rate in the Foley catheter and endoscopic extraction group was 6/14 and 10/10 (p=0.006). The average wait time before the procedure and average hospital charge (US$) were 2.0±1.1 hours and 18.1±13.7 hours, and $113 and $428 for Foley catheter extraction and endoscopic extraction, respectively.
References
1. Choe BH, Park GS, Hwang JB. Endoscopic removal of foreign bodies from the upper gastrointestinal tract in children: management of 78 cases in Taegu, Korea. Korean J Gastrointest Endosc. 2000. 20:6–13.
2. Kim JO, Hong EH, Choe BH, Cho MH, Seo HE, Lim HR, et al. Comparison of endoscopic removal of disk batteries in children. Korean J Pediatr Gastroenterol Nutr. 2007. 10:147–156.
3. Conners GP. A literature-based comparison of three methods of pediatric esophageal coin removal. Pediatr Emerg Care. 1997. 13:154–157.
4. Agarwala S, Bhatnagar V, Mitra DK. Coins can be safely removed from the esophagus by Foley's catheter without fluoroscopic control. Indian Pediatr. 1996. 33:109–111.
5. Calkins CM, Christians KK, Sell LL. Cost analysis in the management of esophageal coins: endoscopy versus bougienage. J Pediatr Surg. 1999. 34:412–414.
6. Kim MK, Kim SW, Sunwoo JC, Park HS. Clinical evaluation of Foley catheter technique for removal of blunt esophageal foreign bodies. Korean J Otolaryngol. 1985. 28:792–795.
7. Cho WR, Park BW, Yoo MJ, Seok SR, Kim SG, Kim MG. Esophageal foreign body (coin) removal using Foley's catheter. Korean J Otolaryngol-Head Neck Surg. 1999. 42:1035–1040.
8. Seo JK. Endoscopic management of gastrointestinal foreign bodies in children: a clinical practice guideline. Korean J Pediatr Gastroenterol Nutr. 2007. 10:Suppl 1. 64–69.
9. Miller RS, Willging JP, Rutter MJ, Rookkapan K. Chronic esophageal foreign bodies in pediatric patients: a retrospective review. Int J Pediatr Otorhinolaryngol. 2004. 68:265–272.
10. Macpherson RI, Hill JG, Othersen HB, Tagge EP, Smith CD. Esophageal foreign bodies in children: diagnosis, treatment, and complications. AJR Am J Roentgenol. 1996. 166:919–924.
11. Yul KS. Simple removal method of esophageal blunt foreign bodies. J Korean Soc Emerg Med. 2003. 14:251–257.
12. Schunk JE, Harrison AM, Corneli HM, Nixon GW. Fluoroscopic Foley catheter removal of esophageal foreign bodies in children: experience with 415 episodes. Pediatrics. 1994. 94:709–714.
13. Campbell JB, Condon VR. Catheter removal of blunt esophageal foreign bodies in children: survey of the society for pediatric radiology. Pediatr Radiol. 1989. 19:361–365.
14. Munter DW, Stack LB. Foreign bodies in the gastrointestinal tract. Emerg Med Clin North Am. 1996. 14:493–521.
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