@article {Nafousi157, author = {O Nafousi and Richard Pertwee and Damian Roland and Jonathan Acheson}, title = {Management of oesophageal coins in children}, volume = {30}, number = {2}, pages = {157--158}, year = {2013}, doi = {10.1136/emermed-2011-200958}, publisher = {British Association for Accident and Emergency Medicine}, abstract = {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.}, issn = {1472-0205}, URL = {https://emj.bmj.com/content/30/2/157}, eprint = {https://emj.bmj.com/content/30/2/157.full.pdf}, journal = {Emergency Medicine Journal} }