Journal List > Korean J Pediatr Gastroenterol Nutr > v.14(3) > 1043510

Korean J Pediatr Gastroenterol Nutr. 2011 Sep;14(3):251-257. Korean.
Published online September 30, 2011.
Copyright © 2011 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Feasibility of Foley Catheter Prior to Endoscopy for the Removal of Esophageal Coin in Children
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. and Byung Ho Choe, M.D.
Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea.

Corresponding author (Email: )
Received August 12, 2011; Revised August 27, 2011; Accepted September 06, 2011.



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.


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.


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.


Foley catheter extraction may be tried for the removal of esophageal coins in uncomplicated children. The technique is effective, safe, inexpensive and free of general anesthesia.

Keywords: Foley balloon catheterization; Coins; Childhood


Fig. 1
Measurement of catheter's length for insertion.
Click for larger image


Table 1
Comparison of Foley Catheter and Endoscopy Extractions
Click for larger image

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