Mariani P J, Wagner D K
J Emerg Med. 1986;4(4):301-6. doi: 10.1016/0736-4679(86)90006-5.
The case is reported of a successful Foley catheter extraction of two superimposed coins from the esophagus of an 8-year-old girl. The presence of the second coin was suspected only on review of the lateral cervical radiograph. In a previous report, failure to initially diagnose the presence of an additional coin resulted in an endoscopic failure to clear the esophagus. The technical aspects of Foley extraction are reviewed along with the controversy surrounding the procedure. Series totaling 294 cases document a cumulative success rate of 85% without significant complications. The technique, when performed by airway experts, is concluded to be a viable alternative to endoscopic removal. Lateral films, fluoroscopic extraction, and barium studies in select cases are recommended as safeguards against missing nonobvious foreign bodies of the esophagus.
本文报道了一例成功通过 Foley 导管从一名 8 岁女孩食管中取出两枚叠放硬币的病例。仅在复查颈椎侧位 X 光片时才怀疑有第二枚硬币存在。在之前的一份报告中，由于最初未能诊断出还有一枚硬币，导致内镜检查未能清除食管内异物。文中回顾了 Foley 导管取出术的技术要点以及围绕该手术的争议。总计 294 例病例显示，累积成功率为 85%，且无明显并发症。结论是，由气道专家实施该技术是内镜取出术的一种可行替代方法。建议拍摄侧位片、进行透视下取出以及在特定病例中进行钡剂检查，以防止遗漏食管内不明显的异物。
