Clinical Pediatrics

 

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Clinical Pediatrics, Vol. 45, No. 1, 71-73 (2006)
DOI: 10.1177/000992280604500111

Safe Removal of Upper Esophageal Coins by Using Magill Forceps: Two Centers’ Experience

Salih Cetinkursun, MD

Department of Pediatric Surgery, Gülhane Military Medical Academy, Ankara

Ali Sayan, MD

Department of Pediatric Surgery, Social Security Institutions, Tepecik Training Hospital, Izmir, Turkey

Suzi Demirbag, MD

Department of Pediatric Surgery, Gülhane Military Medical Academy, Ankara

Ilhami Surer, MD

Department of Pediatric Surgery, Gülhane Military Medical Academy, Ankara

Tunc Ozdemir, MD

Department of Pediatric Surgery, Social Security Institutions, Tepecik Training Hospital, Izmir, Turkey

Ahmet Arikan, MD

Department of Pediatric Surgery, Social Security Institutions, Tepecik Training Hospital, Izmir, Turkey

Coin ingestion with subsequent esophageal coin impaction is common in children. Considerable debate surrounds the choice of technique for the removal of esophageal coins. This study demonstrates a minimally invasive technique for upper esophageal coin extraction. A retrospective review was conducted of 165 children who had upper esophageal coins extracted by using a Magill forceps. One hundred fifty-six coins (96.4%) were successfully removed without any complications. The average time taken to remove the coin was 33 seconds. Use of the Magill forceps technique minimizes instrumentation of the esophagus and is an easy, safe technique for removing coins from the upper end of the esophagus.


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