Document Detail


Coin ingestion in children: which size is more risky?
MedLine Citation:
PMID:  19215216     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Because of economic inflation, different-sized coins are in circulation in our country. The coin ingestion and retention in the esophagus are common problems in childhood. We evaluated the patients with coins retained in the esophagus and the impact of the size of the coins on lodgment. PATIENTS AND METHODS: Sixty-two children with a history of coin ingestion and a chest X-ray with retained coin in the esophagus were evaluated. Patients' age, sex, type of the ingested coin, and localization of coin were recorded. The size of all coins was measured. All coins were removed either directly with a Magill forceps or with the aid of an esophagoscope from the esophagus under general anaesthesia. RESULTS: There were 27 male and 35 female patients with coin lodgment (median age, 4 years; range, 1-13). Forty-five patients (73%) ingested a coin with a diameter between 23.45 and 26.00 mm. In the remaining 17 patients (27%), the coins had a diameter between 17.00 and 20.90 mm or between 26.85 and 28.00 mm. Fifty coins were at the upper esophagus, eight coins were in the middle esophagus, and 4 patients had a coin in the distal esophagus. There was a positive correlation between the diameter of coin and age of the patient (r = 0.415 and P < 0.001). CONCLUSIONS: Coin ingestion is rather common among childhood and its treatment may require an endoscopic approach. Most retained coins had a diameter between 23.45 and 26.00 mm. We think we could redesign our coins so that they would either be too big to ingest or so small they would always pass spontaneously.
Authors:
Burak Tander; Mehmet Yazici; Riza Rizalar; Ender Ariturk; Suat H Ayyildiz; Ferit Bernay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  19     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-26     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  241-3     Citation Subset:  IM    
Affiliation:
Department of Pediatric Surgery, Ondokuz Mayis University, Samsun, Turkey. btander@omu.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Chi-Square Distribution
Child
Child, Preschool
Esophagoscopy / methods*
Esophagus*
Female
Foreign Bodies / radiography,  therapy*
Humans
Infant
Male
Numismatics*
Risk Factors
Statistics, Nonparametric
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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