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 bodylodged in the oesophagus. This study was conducted to describe our experience of removal ofcoins from oesophagus with Foley catheter under ketamine effect. Methods: This was aretrospective study conducted at District Head Quarter Hospital, Buner. Foley’s catheter was usedto remove the coins under ketamine effect. Results: Coins were successfully removed from 188children 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 firstattempt in 154 (81.91%) cases. In 34 (18.08%) cases more than one attempts were required. Themean time for the removal of coin (i.e., initiation of catheter to removal of coin) was 55.30seconds. The most commonly ingested coin was a one rupee coin (139, 73.93%), followed by tworupee coin (47, 25%), and 5 rupee coin (2, 1.06%). Conclusion: The coin impacted at thecricopharyngeus or upper oesophagus can be safely, easily, and quickly removed by Foley catheterunder ketamine effect.Keywords: oesophagus, coin, foreign body, Foley catheterReferences
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