Abstract
Objective: To describe the approach to the problem of open safety pin impacted in the esophagus in the pediatric population which constitutes a challenging and unusual situation. Methods: Presentation of three cases of open safety pins lodged to the esophagus and description of the techniques used for their removal. Results: In two cases rigid endoscopy was employed for the removal of the foreign body while in one of them a small gastrotomy was necessary. Recovery was uneventful in all three cases. Conclusions: Rigid endoscopy is a safe technique with minimal morbidity in experienced hands. Alternatively flexible endoscopy can be used with equally reported efficacy. Occasionally open surgery techniques might be necessary.
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