Annals of Emergency Medicine
Volume 51, Issue 4 , Pages 367-372 , April 2008

Safety and Efficacy of a Protocol Using Bougienage or Endoscopy for the Management of Coins Acutely Lodged in the Esophagus: A Large Case Series

  • Joseph Leo Arms, MD

      Affiliations

    • Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN
    • University of Minnesota, Department of Pediatrics, Minneapolis, MN
    • Corresponding Author InformationAddress for reprints: Joseph Leo Arms, MD, 4501 Garfield Ave S, Minneapolis, MN 55419; 612-825-1770, fax 612-813-6484
    • ,
  • Mary Diane Mackenberg-Mohn, PhD, CNP

      Affiliations

    • Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN
    • ,
  • Mariya V. Bowen, PNP, ACPNP

      Affiliations

    • Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN
    • ,
  • Marydee C. Chamberlain, MD

      Affiliations

    • Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN
    • University of Minnesota, Department of Pediatrics, Minneapolis, MN
    • ,
  • Thomas M. Skrypek, MD

      Affiliations

    • University of Minnesota, Department of Pediatrics, Minneapolis, MN
    • ,
  • Manu Madhok, MD, MPH

      Affiliations

    • Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN
    • University of Minnesota, Department of Pediatrics, Minneapolis, MN
    • ,
  • Jose M. Jimenez-Vega, MD

      Affiliations

    • MD Universidad de Ciencias Medicas, San Jose, Costa Rica.
    • ,
  • William A. Bonadio, MD

      Affiliations

    • Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN

Received 23 May 2007 ,Revised 29 August 2007 ,Accepted 6 September 2007.

References 

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  2. Conners GP, Chamberlain JM, Weiner PR. Pediatric coin ingestions: a home-based survey. Am J Emerg Med. 1995;13:638–640
  3. Little DC, Shah SH, Peter SD, et al. Esophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg. 2006;41:914–918
  4. Cheng W, Tam PKH. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999;34:1472–1476
  5. Louie JP, Alpern ER, Windreich RM. Witnessed and unwitnessed esophageal foreign bodies in children. Pediatr Emerg Care. 2005;21:582–585
  6. Nahman BJ, Meuller CF. Asymptomatic esophageal perforation by a coin in a child. Ann Emerg Med. 1984;13:627–629
  7. Obiako MN. Tracheoesophageal fistula: a complication of foreign body. Ann Otol Rhinol Laryngol. 1982;91:325–327
  8. Doolin EJ. Esophageal stricture—an uncommon complication of foreign bodies. Ann Otol Rhinol Laryngol. 1993;102:863–866
  9. Byard RW, Moore L, Bourne AJ. Sudden and unexpected death—a late effect of occult intraesophageal foreign body. Pediatr Pathol. 1990;10:837–841
  10. Waltzman ML, Baskin M, Wypij D, et al. A randomized clinical trial of the management of esophageal coins in children. Pediatrics. 2005;116:614–619
  11. Schunk JE, Harrison AM, Corneli HM, et al. Fluoroscopic Foley catheter removal of esophageal foreign bodies in children: experience with 415 episodes. Pediatrics. 1994;94:709–714
  12. Spitz L. Management of ingested foreign bodies in childhood. BMJ. 1971;4:469–472
  13. Gracia C, Frey CF, Bodai BI. Diagnosis and management of ingested foreign bodies: a ten-year experience. Ann Emerg Med. 1984;13:30–34
  14. Conners GP, Cobaugh DJ, Feinberg R, et al. Home observation for asymptomatic coin ingestion: acceptance and outcomes (The New York State Poison Control Center Coin Ingestion Study Group). Acad Emerg Med. 1999;6:213–217
  15. Conners GP, Chamberlain JM, Ochsenschlager DW. Conservative management of pediatric distal esophageal coins. J Emerg Med. 1996;14:723–726
  16. Soprano JV, Mandl KD. Four strategies for the management of esophageal coins in children. Pediatrics. 2000;105:e5
  17. Soprano JV, Fleisher GR, Mandl KD. The spontaneous passage of esophageal coins in children. Arch Pediatr Adolesc Med. 1999;153:1073–1076
  18. Harned RK, Strain JD, Hay TC, et al. Esophageal foreign bodies: safety and efficacy of Foley catheter extraction of coins. AJR Am J Roentgenol. 1997;168:443–446
  19. Emslander HC, Bonadio W, Klatzo M. Efficacy of esophageal bougienage by emergency physicians in pediatric coin ingestion. Ann Emerg Med. 1996;27:726–729
  20. Bonadio WA, Jona JZ, Glicklich M, et al. Esophageal bougienage technique for coin ingestion in children. J Pediatr Surg. 1988;23:917–918
  21. Calkins CM, Christians KK, Sell LL. Cost analysis in the management of esophageal coins: endoscopy versus bougienage. J Pediatr Surg. 1999;34:412–414
  22. Kelley JL, Leech MH, Carr MG. A safe and cost-effective protocol for the management of esophageal coins in children. J Pediatr Surg. 1993;28:898–900
  23. Conners GP. A literature-based comparison of three methods of pediatric esophageal coin removal. Pediatr Emerg Care. 1997;13:154–157

 Supervising editor: Steven M. Green, MD

 Author contributions: JLA was responsible for literature review and study design, abstractor recruitment and training, and abstract submission and was the author of the article and all other databases and documents associated with this project. JLA, MDM-M, MVB, MCC, TMS, MM, JMJ-V, and WAB were responsible for chart abstraction. JLA, MCC, and WAB edited the article. WAB was the project supervisor. JLA takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that may create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Publication dates: Available online October 15, 2007.

PII: S0196-0644(07)01508-9

doi: 10.1016/j.annemergmed.2007.09.001

Annals of Emergency Medicine
Volume 51, Issue 4 , Pages 367-372 , April 2008

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