© 2000 the Emergency Medicine Journal
Best evidence topic report
Signs and symptoms of oesophageal coins
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
Report by Vincent Choudhery, Specialist Registrar Search checked by Sue Maurice Consultant
A 3 year old boy is brought into the emergency department by his mother. She says that he swallowed a coin two hours earlier. The boy is asymptomatic. You wonder whether any investigation needs to be done to exclude oesophageal impaction.
In [children who have swallowed coins] is [history and examination] accurate at [ruling out oesophageal impaction]?
Medline 1966 to 12/99 using the OVID interface. ({exp numismatics OR coin$.mp OR exp foreign bodies OR foreign body.mp OR foreign bodies.mp} AND {exp pediatrics OR pediatric$.mp OR paediatric$.mp OR child$.mp} AND {ingest$.mp OR swallow$.mp OR exp esophagus OR esophagus.mp OR esophageal.mp OR oesophagus.mp OR oesophageal.mp}) LIMIT to human AND english.
Altogether 435 papers were found of which 428 were irrelevant or of insufficient quality. The remaining seven papers are shown in table 1
.
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View this table: [in a new window] Table 1 |
All studies show that a significant number of children with oesophageal coins are asymptomatic.
All children with a
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