Removal of esophageal foreign bodies using a Foley catheter in adults

1985 ◽  
Vol 3 (1) ◽  
pp. 64-66 ◽  
Author(s):  
Sergio Ginaldi
1983 ◽  
Vol 13 (3) ◽  
pp. 116-118 ◽  
Author(s):  
J. B. Campbell ◽  
F. L. Quattromani ◽  
L. C. Foley

1982 ◽  
Vol 91 (6) ◽  
pp. 599-601 ◽  
Author(s):  
W. Frederick McGuirt

A survey was conducted among otolaryngologists, thoracic surgeons, pediatric surgeons and pediatric radiologists to determine the frequency of removal of esophageal foreign bodies with a Foley catheter. The 245 physicians responding reported 1,512 cases, 96% of which were treated with this technique by radiologists and pediatric surgeons. Although no deaths or serious complications were reported, the author warns that increasing use of this procedure by nonendoscopists carries the risk of serious complications unless certain safeguards are taken. These include trained personnel, use of fluoroscopy, a cooperative patient with a single, smooth, radiopaque foreign body lodged in the esophagus and a barium esophagogram with negative results for total obstruction and underlying esophageal disease.


PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 791-791
Author(s):  
Gregory P. Conners ◽  
James M. Chamberlain ◽  
Daniel W. Ochsenschlager

We enjoyed reading the paper by Schunk et al1 regarding the removal of esophageal foreign bodies using the fluoroscopic Foley catheter technique. We feel, however, that their sentence "Because of the potential for serious complications all impacted foreign bodies should be removed" deserves further clarification. Impacted is defined as "pressed firmly together so as to be immovable."2 Therefore, a foreign body that is impacted in the esophagus is one that will not pass to the stomach without an intervention.


1986 ◽  
Vol 4 (4) ◽  
pp. 301-306 ◽  
Author(s):  
Peter J. Mariani ◽  
David K. Wagner

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 791-792
Author(s):  
Charles M. Myer

The debate continues! A recent article by Schunk et at1 stresses the safety and efficacy of Foley catheter removal of esophageal foreign bodies in selected circumstances. As Chairman of the Section on Otolaryngology and Bronchoesophagology and immediate Past President of the Society for Ear, Nose, and Throat Advances in Children, I feel compelled to offer an otolaryngology perspective to this controversial topic. In this regard, I am a "war veteran", having contributed an invited editorial to Pediatric Radiology in 1991 regarding the potential hazards of esophageal foreign body removal.2


1993 ◽  
Vol 29 (4) ◽  
pp. 844
Author(s):  
Kyung In Kim ◽  
Yoo Mi Cha ◽  
Heon Han ◽  
Dal Mo Yang ◽  
Hyung Sik Kim ◽  
...  

PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. 709-714
Author(s):  
Jeff E. Schunk ◽  
A. Marc Harrison ◽  
Howard M. Corneli ◽  
G. William Nixon

Objective. This study sought to investigate the safety and efficacy of the fluoroscopic Foley catheter technique (FFCT) for removal of esophageal foreign bodies (EFBs) in children, and to identify factors associated with decreased success. Design/Setting/Patients. An 11-year retrospective review of all pediatric patients undergoing the FFCT for removal of EFBs at a tertiary-care children's hospital was performed. Results. Four-hundred and fifteen cases are reported. The median age was 29 months (range, 4 to 193); children ≤ 24 months accounted for 45% (185) of the cases. Of all episodes 86% (355) involved children without known esophageal pathology. Coins comprised 76% (316) of the EFBs. The FFCT was successful in 91% (378) of the cases. In the 60 episodes involving children with underlying esophageal pathology, the technique had an 83% success rate compared to 92% in children without known pathology (P < .05). There were 290 patients where the duration of impaction was known. The success rate was 96% if the duration was 3 days or less compared to 50% if the duration was longer (P < .0001). Though the overall success in children ≤ 24 months was less than older children (88% vs 94%, P < .05), this effect disappeared when corrected for duration of impaction. Minor complications occurred in 2% of the episodes, and major complications were noted in 1%. Conclusions. The FFCT appears to be a safe and effective method for removal of EFBs especially in children without underlying esophageal lesions and a duration of impaction ≤ 3 days. Major complications are rare.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Yasin Abdurehim ◽  
Yalkun Yasin ◽  
Qu Yaming ◽  
Zhang Hua

Objective. To discuss the safety and efficacy of Foley catheter removal of blunt pediatric esophageal foreign bodies. Methods. Analyzing our first 17 cases of pediatric esophageal foreign bodies removed by Foley catheter method in respect of the efficacy, removal methods, and complications. We also reviewed related literature and discussed the background, current status, and technical matters that need attention of this method. Results. In three-year period between May 2010 and May 2013, in 16 out of 17 children blunt radiopaque foreign bodies impacted in the esophagus were successfully removed by a Foley catheter. There were no complications. In one patient, the foreign body was advanced into stomach and came out with stool 2 days later. Conclusions. The technique is safe, rapid, and cost-effective procedure and applicable for blunt, flat foreign bodies impacted in the esophagus.


PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 791-791
Author(s):  
James E. Arnold ◽  
Diana Radkowski

Dr Schunk and colleagues1 have provided a very clear presentation of their use of the Foley catheter with fluoroscopic guidance for removal of esophageal foreign bodies in children. They cite their high success rate and relative safety and infer that this is the procedure of choice based primarily on cost reduction. They properly point out that fluoroscopic-guided catheter extraction should be applied only to blunt foreign bodies that have been lodged for 3 days or less, and there should be no history of esophageal disease.


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