Open Access, Peer-reviewed
pISSN 2234-8646
eISSN 2234-8840
    Korean J Pediatr Gastroenterol Nutr. 2011 Sep;14(3):251-257. Korean.
    Published online Sep 30, 2011.
    https://doi.org/10.5223/kjpgn.2011.14.3.251
    Copyright © 2011 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
    Original Article

    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.

    Tables

    Table 1
    Comparison of Foley Catheter and Endoscopy Extractions

    References

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    MeSH Terms
    Anesthesia, General
    Catheters
    Child
    Endoscopy
    Esophagus
    Hospital Charges
    Humans
    Medical Records
    Numismatics
    Retrospective Studies
    Metrics
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    Tables
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