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Extracting coins from the upper end of the esophagus using a Magill forceps technique
1Department of ENT, Jordan University of Science and Technology, PO Box 3030, Irbid, Jordan. mahafza@just.edu.jo
Insights
The Magill forceps technique (MFT) effectively removes esophageal coins in children. This quick and safe method successfully extracted coins in most cases, with minimal complications.
Area of Science:
- Pediatric Otolaryngology
- Gastroenterology
- Medical Devices
Background:
- Foreign body ingestion, particularly coins, is common in children.
- Esophageal coin impaction requires prompt and safe removal to prevent complications.
Purpose of the Study:
- To evaluate the efficacy and safety of the Magill forceps technique (MFT) for esophageal coin removal in pediatric patients.
- To establish MFT as a primary intervention for upper esophageal foreign bodies.
Main Methods:
- A prospective study involving 75 children under 12 years old with coins lodged in the upper esophagus.
- Utilized Magill forceps guided by a Mc-Intosch laryngoscope for direct visualization and extraction.
- Recorded procedure time and any associated complications.
Main Results:
- Successful coin removal in 71 out of 75 pediatric patients (94.7%) using MFT.
- Average removal time was 30 seconds.
- No significant complications were reported; four cases resulted in coin migration to the stomach.
Conclusions:
- Magill forceps technique is a highly efficient, rapid, and safe procedure for removing coins from the upper esophagus in children.
- MFT offers a low-risk, effective solution for pediatric esophageal foreign body retrieval.
Objectives:
To assess the efficiency of a Magill forceps technique (MFT) in removing coins from the upper end of the esophagus.
Method:
The study population was 75 patients, all of them were children under the age of 12 years. This study was carried out in ENT department at Princess Basma Teaching Hospital during the period October 1996-September 1999. MFT is based on the insertion of a Mc-Intosch laryngoscope into the pharynx to elevate the larynx and to expose the esophageal entrance, then Magill forceps were advanced into the esophagus and opened in order to see and extract the coin from the esophagus.
Results:
Seventy-one coins were successfully removed without any complications from 75 children admitted with coins in the upper end of the esophagus. In the remaining four cases, the coins had slipped down into the stomach. The average time taken to remove the coin was 30 s.
Conclusion:
MFT is a quick, easy and safe technique for removing coins from the upper end of the esophagus.