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Management of oesophageal coins in children


Objective Is a watch and wait approach safe in asymptomatic patients presenting to the emergency department with a confirmed oesophageal coin on x-ray?

Methods A retrospective case note review for children <16 years attending with a confirmed oesophageal coin on x-ray over a 7-year period (1 January 2004 to 31 December 2010).

Results 89% (33/37) of coins in asymptomatic patients, who were conservatively managed, had passed spontaneously on repeat chest x-ray up to 18 h later. No patient who was discharged with a middle or lower oesophageal coin required a GA and no child who was treated conservatively developed any complications.

Conclusion In the UK asymptomatic children, with no history of tracheal or oesophageal disease and a confirmed oesophageal coin on x-ray should undergo a period of observation up to 18 h. This can be safely undertaken at home, followed by a repeat x-ray in the emergency department.

  • Paediatric emergency med
  • paediatrics
  • paediatric emergency medicine
  • teaching
  • admission avoidance
  • clinical assessment
  • education
  • research
  • clinical
  • acute medicine-other
  • accident prevention
  • alcohol abuse
  • anaesthesia

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