After a successful bougienage with passage of the coin into the stomach, the patient can be discharged home. The patient’s parents need to be extensively educated on the need to return to the emergency department with any concerning symptoms. Despite the lack of known serious complications following bougienage, the parents should be monitoring for abdominal pain, nausea, vomiting, chest pain, constipation, obstipation, fever, chills, or any other concerning signs of obstruction or perforation. The parents also have the privilege of checking all of the patient’s bowel movements for passage of the coin; if by two weeks they have not noticed passage of the coin, a repeat radiograph may be warranted.
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ACEP Now: Vol 34 – No 05 – May 2015
Dr. McGovern is an emergency medicine resident at St. Joseph’s Regional Medical Center in Paterson, New Jersey.
Dr. McNamee is chief resident of the emergency medicine residency at St. Joseph’s Regional Medical Center in Paterson, New Jersey.
Dr. Sanicola-Johnson is director of physician wellness and an emergency medicine attending physician/EMS physician at St. Joseph’s Regional Medical Center in Paterson, New Jersey.
References
- Mowry J, Spyker J, Cantilena L, et al. 2012 Annual Report of the American Association of Poison Control Centers’ National Poison Data System: 30th Annual Report. Clin Toxicol. 2013;51:949-1229.
- Eisen G, Baron T, Dominitz A, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc. 2002;55(7):802-806.
- National Capital Poison Center. Mechanisms of battery-induced injury. National Capital Poison Center Web site. Available at: http://www.poison.org/battery/mechanism.asp. Accessed January 20, 2015.
- Ikenberry S, Jue T, Anderson M, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73(6):1085-1091.
- Waltzman M, Baskin M, Wypij D, et al. A randomized clinical trial of the management of esophageal coins in children. Pediatrics. 2005;116:614-619.
- Conners G, Chamberlain J, Ochesenschlager D. Conservative management of pediatric distal esophageal coins. J Emerg Med. 1996;14(6):723-726.
- Conners G. A literature-based comparison of three methods of pediatric esophageal coin removal. Ped Emerg Care. 1997;13(2):154-157.
- Hawkins D. Removal of blunt foreign bodies from the esophagus. Ann Otol Rhinol Laryngol. 1990;99(12):935-940.
- Campbell J, Condon V. Catheter removal of blunt esophageal foreign bodies in children. Survey of the Society for Pediatric Radiology. Pediatr Radiol. 1989;19(6-7):361-365.
- Schunk J, Harrison A, Corneli H, et al. Fluoroscopic Foley catheter removal of esophageal foreign bodies in children: experience with 415 episodes. Pediatrics. 1994;94 (5):709-714.
- Chen M, Beierle E. Gastrointestinal foreign bodies. Pediatr Ann. 2001;30(12):736-742.
- Little D, Shah S, St Peter S, et al. Esophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg. 2006;41:914-918.
- Mehta D, Attia M, Quintana E, et al. Glucagon use for esophageal coin dislodgement in children: a prospective, double-blind, placebo-controlled trial. Acad Emerg Med. 2001;8:200-203.
- Bonadio W, Jona J, Glicklich M, et al. Esophageal bougienage technique for coin ingestion in children. J Pediatr Surg. 1988;23(10):917-918.
- Allie E, Blackshaw A, Losek J, et al. Clinical effectiveness of bougienage for esophageal coins in a pediatric ED. Am J Emerg Med. 2014;32:1263-1269.
- Calkins C, Christians K, Sell L. Cost analysis in the management of esophageal coins: endoscopy vs bougienage. J Pediatr Surg. 1999;34(3):412-414.
- Dahshan A, Donovan K. Bougienage versus endoscopy for esophageal coin removal in children. J Clin Gastroenterol. 2007;41(5):454-456.
- Emslander H, Bonadio W, Klatzo M. Efficacy of esophageal bougienage by emergency physicians in pediatric coin ingestion. Ann Emerg Med. 1996;27(6):726-729.
- Arms J, Mackenberg-Mohn M, Bowen M, et al. Safety and efficacy of a protocol using bougienage or endoscopy for the management of coins acutely lodged in the esophagus: a large case series. Ann Emerg Med. 2008;51:367-372.
- Soprano J, Mandl K. Four strategies for the management of esophageal coins in children. Pediatrics. 2000;105(1):1-5.
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