Two cases of coin extraction from the upper third of the oesophagus are described, using a Foley catheter in the accident and emergency department without complication. Although previously reported, the method is not widely used; indeed many junior doctors appear unaware of it. Coins can be removed from this proximal position provided the operator is confident and swift. This appears to be a safe and useful technique, avoiding the need for hospital admission and anaesthesia. It is worth trying before resorting to endoscopy.
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