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Factors affecting successful esophageal foreign body removal using a Foley catheter in pediatric patients

Donghoon Lim1, Jong Kun Kim1, Yun Jeong Kim1

  • 1Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea.

Clinical and Experimental Emergency Medicine
|April 12, 2021
PubMed

Insights

Esophageal foreign body removal in children using a Foley catheter is highly successful with few complications. No single factor significantly impacted success, though more experienced operators showed a trend toward better outcomes.

Area of Science:

  • Pediatric Emergency Medicine
  • Gastroenterology
  • Medical Devices

Background:

  • Esophageal foreign body (FB) impaction presents a significant challenge in pediatric emergency care.
  • Foley catheter removal is a common, minimally invasive technique for esophageal FB extraction.

Purpose of the Study:

  • To identify factors influencing the success rate of Foley catheter-based esophageal FB removal in pediatric patients.
  • To explore methods for improving the efficacy of this procedure.

Main Methods:

  • Retrospective, cross-sectional analysis of pediatric patients undergoing Foley catheter removal for esophageal FB impaction.
  • Evaluation of patient demographics, FB characteristics, procedural details, and operator experience in relation to success rates.

Main Results:

  • Foley catheter removal was successful in 81.4% of cases with no reported complications.
  • No significant association was found between success rates and patient age, FB type/size, or procedural variables.
  • A trend towards higher success rates was observed with increased operator training, though not statistically significant.

Conclusions:

  • Foley catheter use for pediatric esophageal FB removal is effective and safe, with a high success rate and low complication incidence.
  • The success of esophageal FB removal appears multifactorial, potentially involving interactions between various patient, FB, and procedural elements.
Abstract

Keywords:
ChildEndoscopyEsophagusFoley catheterizationForeign bodies

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