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.  https://doi.org/10.5223/kjpgn.2011.14.3.251
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: bhchoi@knu.ac.kr )
Received August 12, 2011; Revised August 27, 2011; Accepted September 06, 2011.

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.

Conclusion

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

Figures


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

Tables


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

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.