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Coins can be safely removed from the esophagus by Foley's catheter without fluoroscopic control
S Agarwala1, V Bhatnagar, D K Mitra
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi.
Insights
Removing esophageal coins in children using a Foley catheter is safe and effective, even without fluoroscopic guidance. This study demonstrates a high success rate for this minimally invasive procedure.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
- Medical Device Safety
Background:
- Esophageal foreign body ingestion, particularly coins, is common in children.
- Traditional coin removal often involves fluoroscopic guidance, which carries radiation risks.
- Safe and effective alternatives are needed for pediatric esophageal coin removal.
Purpose of the Study:
- To evaluate the safety and efficacy of Foley catheter removal of esophageal coins in children.
- To assess the feasibility of this technique without fluoroscopic control.
Main Methods:
- Retrospective case-series study.
- Involved 302 children with esophageal coin impaction treated between 1992-1994.
- Utilized Foley catheter for coin removal without fluoroscopic monitoring.
Main Results:
- Successful coin removal was achieved in 283 (93.7%) of the children.
- The procedure was effective even in cases with difficult removals.
- No significant complications were reported.
Conclusions:
- Foley catheter removal is a safe and effective method for impacted esophageal coins in children.
- This technique can be successfully performed without fluoroscopic control, reducing radiation exposure.
- It offers a viable alternative for managing pediatric esophageal coin ingestions.
Objective:
Evaluate safety of the procedure of removing coins from the esophagus in children by Foley's catheter without fluoroscopic control.
Design:
Retrospective case-series.
Setting:
Tertiary care referral hospital, during 1992-94.
Subjects:
302 consecutive children with coins impacted in the esophagus who presented to the hospital.
Results:
Coins were successfully removed in 283 (93.7%) children including 2 cases in whom the removal was difficult.
Conclusions:
Foley's catheter may be used for removed of impacted esophageal coins, even without fluoroscopic control. The technique is effective and safe.