REMOVAL OF COINS FROM OESOPHAGUS WITH FOLEY CATHETER UNDER KETAMINE EFFECT
Abstract
Background: Foreign body ingestion continues to be a common problem that contributessignificantly to high morbidity and mortality worldwide. Coins are the most common foreign body
lodged in the oesophagus. This study was conducted to describe our experience of removal of
coins from oesophagus with Foley catheter under ketamine effect. Methods: This was a
retrospective study conducted at District Head Quarter Hospital, Buner. Foley's catheter was used
to remove the coins under ketamine effect. Results: Coins were successfully removed from 188
children without complications. Amongst these children 101 (53.72%) were male and 87 (46.28%)
were female. The mean age of these children was 3.79 years. The coin was removed in first
attempt in 154 (81.91%) cases. In 34 (18.08%) cases more than one attempts were required. The
mean time for the removal of coin (i.e., initiation of catheter to removal of coin) was 55.30
seconds. The most commonly ingested coin was a one rupee coin (139, 73.93%), followed by two
rupee coin (47, 25%), and 5 rupee coin (2, 1.06%). Conclusion: The coin impacted at the
cricopharyngeus or upper oesophagus can be safely, easily, and quickly removed by Foley catheter
under ketamine effect.
Keywords: oesophagus, coin, foreign body, Foley catheter
References
Wai Pak M, Chung Lee W, Kwoki Fung H, ven Hasset CA.
A prospective study of foreign ingestion. Int J Pediatr
Otorhinolaryngol 2001;58:37-45.
Hgo R, Mastsumoto Y, Ichimura K, Kaga K. Foreign body in
aero digestive tract in paediatric patients. Auris Nasus Larynx
;30:397-401.
Dahshan AH, Kevin Dovoan G. Bougienage versus
endoscopy for esophageal coins removal in children. J Clin
Gastroenterol 2007;41:454-6.
Soprano JV, Fleisher GR, Mandl KD. The spontaneous
passage of esophageal coins in children. Arch Pediatr
Adolesc Med 1999;153:1073-6.
Karmer TA, Riding KH, Salkeld LT. Trachea, bronchial and
esophageal foreign bodies in the pediatric population. J
Otolaryngol 1986;15:355-8.
Loh KS, Tan LK, Smith JD, Yeoh KH, Dong F.
Complications of foreign body in the esophagus. Otolaryngol
Head Neck Surg 2000;123:613-6.
Suprano JV, Mandil KD. Four strategies for the management
of esophageal coins in children. Pediatrics 2000;105:1-5.
Gauderer MW, DeCou JM, Abrams RS, Thomeson MA. The
'˜Penney pincher': A new technique for fast and safe removal
of esophageal coins. J Pediatr Surg 2000;35:276-8.
Schunk JE, Harrison M, Corneli HM, Nixon GW.
Fluoroscopic Foley catheter removal of esophageal foreign
body in children: experience with 415 episodes. Pediatrics
;94:709-14.
Ahmad N, Niamatullah, Yousaf M, Javaid M, Ullah I, Ullah
I. Removal of coins from upper esophagus under local
anesthesia. J Postgrad Med Ins 2007;21(2):109-12.
J Ayub Med Coll Abbottabad 2012;24(3-4)
http://www.ayubmed.edu.pk/JAMC/24-3/Yunas.pdf 185
Bonadio WA, Jona JZ, Glicklich M, Cohen R. Esophageal
bougienage technique for coins ingestion in children. J
Pediatr Surgery 1988;23:917-8.
Cheng W, Tam PKH. Foreign-body ingestion in children:
experience with 1,265 cases. J Pediatr Surg 1999;34:1472-6.
Tucker JG, Kim HH, Lucas W. Esophageal perforation
caused by coin ingestion. South Med J 1994;87:269-72.
Uba AF, Sowande AO, Amusa YB, Ogundoyin OO, Chinda
JY, et al. Management of esophageal foreign bodies in
children. East Afr Med J 2002:79:334-8.
Khan MA, Hameed A, Choudhry AJ. Management of foreign
body in the esophagus. J Coll Physicians Surg Pak
;14:18-20.
Dokler ML, Bradaw J, Molitt DL, Japas JJ. Selective
management of pediatric esophageal foreign body. Am Surg
;61(2):132-4.
Corner GP. A literature-based comparison of three methods
of pediatric esophageal coins removal. Pediatr Emerg Care
;13(2):154-7.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
