Symptoms and Spontaneous Passage of Esophageal Coins

Conners, Gregory P.; Chamberlain, James M.; Ochsenschlager, Daniel W.

doi:10.1001/archpedi.1995.02170130038008

Cited by 80 publications

(49 citation statements)

References 22 publications

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“…Coins located in the proximal and middle esophagus have been thought unlikely to pass spontaneously. 15 Thus, watchful waiting with an observation period has generally been implemented for distal esophageal coins only. We sought to determine the rates of spontaneous passage of proximal, middle, and distal esophageal coins to the stomach in children.…”

Section: Discussionmentioning

confidence: 99%

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The Spontaneous Passage of Esophageal Coins in Children

Soprano¹,

Fleisher²,

Mandl³

1999

Arch Pediatr Adolesc Med

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Section: Discussionmentioning

confidence: 99%

“…Conners et al 15 found a 60% spontaneous passage rate for distal esophageal coins, with a median time to passage of 5 hours. They showed that none of the 48% of patients with proximal or middle esophageal coins who underwent subsequent radiographs had spontaneous passage of the coin.…”

Section: Commentmentioning

confidence: 99%

The Spontaneous Passage of Esophageal Coins in Children

Soprano¹,

Fleisher²,

Mandl³

1999

Arch Pediatr Adolesc Med

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“…The large majority of children who have retained esophageal coins, however, are otherwise healthy. 6 Several hospital-based authors, noting a significant portion of asymptomatic patients among even their previously healthy patients with esophageal coins, have recommended imaging studies for all, hoping to detect and remove esophageal coins, thereby avoiding these adverse sequelae.…”

Section: Discussionmentioning

confidence: 99%

Home Observation for Asymptomatic Coin Ingestion: Acceptance and Outcomes

Conners

Cobaugh

Feinberg

et al. 1999

Academic Emergency Medicine

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Abstract. Objectives: To obtain preliminary estimates of the acceptance rate and the frequency of adverse outcomes, and to identify issues related to acceptance, associated with management of asymptomatic pediatric coin ingestion by home observation, in preparation for a large-scale prospective study. Methods: Scripted telephone follow-up of callers who had reported asymptomatic pediatric coin ingestions to one of five poison control centers six to 36 months previously, which had been managed by home observation. Results: Of the 67 callers enrolled, 41 (67%) reported contacting a physician regarding the coin ingestion, despite home observation instruction by poison control center personnel. Those who did not recall being instructed in home observation were more likely to have contacted a physician than those who did. Nearly all, however, were satisfied with the advice they had been given. One child developed subsequent symptoms; as per the instructions that had been given by poison control center personnel, his parent sought physician evaluation, revealing an esophageal coin, which was removed uneventfully. No other child developed complications. Conclusions: Although all of the 67 children managed by home observation did well, most of their caretakers had not accepted this management strategy. Acceptance, while unrelated to satisfaction, may be related to comprehension of the instructions caregivers are given. A prospective study of home observation for asymptomatic pediatric coin ingestion would be safe and would allow further examination of factors affecting acceptance.

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“…Infants' swallowing of a small coin or battery is a common pediatric problem [9]- [12], but is nonetheless regarded as a medical emergency, as damages to the digestive system can occur if not removed in a timely manner [11]- [13].…”

Section: Introductionmentioning

confidence: 99%

Miniature Netting System for Endoscopic Object Retrieval From Hard-to-Reach Area

Choi

Rubtsov

Kim

2013

J. Microelectromech. Syst.

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Abstract-Retrieval of an object from hard-to-reach areas requires the use of instruments of various kinds sent through an endoscope. However, removing a flat object firmly lodged in a narrow space, such as a coin or a button battery in a digestive passageway causes complications when using existing endoscopic instruments. To address such a difficult situation, this paper reports development of a miniature retrieval device using MEMS technology and implementation of the device in a custom-made endoscope. The MEMS device consists of a circular plastic net 15 mm in diameter and pneumatically operated micro-joints integrated under the net to bend it. The endoscope is equipped with a hooking mechanism, which secures the net after it wraps the object, and double imaging systems through which the operator monitors overall endoscopic retrieval procedures. Object retrieval is tested in a lab environment using a coin in a tube.

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Symptoms and Spontaneous Passage of Esophageal Coins

Cited by 80 publications

References 22 publications

The Spontaneous Passage of Esophageal Coins in Children

The Spontaneous Passage of Esophageal Coins in Children

Home Observation for Asymptomatic Coin Ingestion: Acceptance and Outcomes

Miniature Netting System for Endoscopic Object Retrieval From Hard-to-Reach Area

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