Value and Efficacy of Foley Catheter Removal of Blunt Pediatric Esophageal Foreign Bodies

Yasin Abdurehim,Qu Yaming,Zhang Hua,Yalkun Yasin

doi:10.1155/2014/679378

Yasin Abdurehim, Qu Yaming + Show 2 more

Open Access

https://doi.org/10.1155/2014/679378

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Abstract

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.

Highlights

Children have a natural tendency to put any small objects into their mouth; occasionally these objects can be ingested in the airodigestive tract; 80% of them will be stuck in the esophagus and 20% of them will lodge in the airway
Rigid esophagoscopy has long been hailed as the gold standard for the removal of esophageal foreign bodies in children
If all types of esophageal foreign bodies were considered, rigid esophagoscope is the first choice of treatment; the subset of blunt and flat esophageal foreign bodies can be removed by a nonoperative method with a Foley catheter

Summary

Objective

To discuss the safety and efficacy of Foley catheter removal of blunt pediatric esophageal foreign bodies. 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 reviewed related literature and discussed the background, current status, and technical matters that need attention of this method. 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. The foreign body was advanced into stomach and came out with stool 2 days later. The technique is safe, rapid, and cost-effective procedure and applicable for blunt, flat foreign bodies impacted in the esophagus

Introduction

Materials and Methods

Results

Discussion