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KMID : 1100620210080010030
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Clinical and Experimental Emergency Medicine
2021 Volume.8 No. 1 p.30 ~ p.36
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Factors affecting successful esophageal foreign body removal using a Foley catheter in pediatric patients
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Lim Dong-Hoon
Kim Jong-Kun
Kim Yun-Jeong
Cho Yeon-Joo
Cho Jae-Wan
Park Jung-Bae
Choe Jae-Young
Choe Byung-Ho
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Abstract
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Objective: This study aimed to determine the factors that affect successful esophageal foreign body (FB) removal using a Foley catheter and to identify methods to increase the success rate.
Methods: In this retrospective, cross-sectional study, we included pediatric patients who presented with esophageal FB impaction that was removed using a Foley catheter in the emergency departments of tertiary care and academic hospitals. We analyzed the effect of the patients’ age, sex, and symptoms; FB type, size, and location; Foley catheter size; complications during FB removal; duration between FB ingestion and removal; operator’s years of training; sedation; success rate of FB removal; endoscopy; and patient’s posture during FB removal on the success of Foley catheter-based FB removal.
Results: Of the 43 patients we enrolled, Foley catheter-based FB removal was successful in 81.4% (35/43) but failed in 18.6% (8/43) of patients; no FB-removal-related complications were reported. There was no significant association between the success rate of Foley catheter-based FB removal and any study variable. A higher number of years in training tended to increase the success rate of Foley catheter-based FB removal, although statistical significance was not achieved.
Conclusion: Children’s esophageal FB removal is a practical challenge in the emergency rooms, and using a Foley catheter is associated with a high success rate of the removal and low occurrence of complications. In this study, no single variable was found correlated with the success rate of Foley catheter-based esophageal FB removal in pediatric patients, which may indicate multiple variables interacting with one another to affect the success rate.
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KEYWORD
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Foreign bodies, Foley catheterization, Endoscopy, Esophagus, Child
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