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A Retrospective Review of the Management of Impacted Coin Ingested in Children

Kmj Kasakanga1, A Groenewald2, M E Mabitsela3

  • 1Department of Pediatric Surgery, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

African Journal of Paediatric Surgery : AJPS
|September 10, 2024
PubMed

Insights

Paediatric coin ingestion in the oesophagus is common. Balloon catheters are effective for removal, with rigid oesophagoscopy reserved for complex cases, ensuring patient safety.

Area of Science:

  • Paediatric Gastroenterology
  • Emergency Medicine
  • Otolaryngology

Background:

  • Accidental coin ingestion is a frequent cause of paediatric emergency department visits globally.
  • Prompt management is crucial to prevent serious complications in children.

Purpose of the Study:

  • To detail the clinical characteristics of paediatric patients with oesophageal coin impaction.
  • To compare the effectiveness of balloon catheter versus oesophagoscopic extraction methods.

Main Methods:

  • Retrospective analysis of medical records for patients aged 12 years and under.
  • Data collected over a 5-year period from a single academic hospital's emergency department.

Main Results:

  • 95 patients (median age 3 years) were included; most coins were in the upper oesophagus.
  • Balloon catheter removal was successful in 77.4% of cases; rigid oesophagoscopy achieved 100% success.
  • Many children presented asymptomatic, with hypersalivation and vomiting as common symptoms.

Conclusions:

  • The balloon catheter is a safe and effective first-line treatment for oesophageal coin removal in children.
  • Rigid oesophagoscopy remains essential for managing treatment failures or delayed presentations.
Abstract

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