{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T18:28:55Z","timestamp":1785781735518,"version":"3.56.0"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Swallowed coins are a frequent cause of pediatric emergency department visits. Removal typically involves endoscopic retrieval under anesthesia. We describe our 30-year experience retrieving coins using a Foley catheter under fluoroscopy (\u201ccoin flip\u201d).<\/jats:p><jats:p>\n          Materials and Methods\u2003Patients younger than 18 years who underwent the coin flip procedure from 1988 to 2018 were identified. Failure of fluoroscopic retrieval was followed by rigid endoscopic retrieval in the operating room. Detailed subanalysis of patients between 2011 and 2018 was also performed.<\/jats:p><jats:p>\n          Results\u2003A total of 809 patients underwent the coin flip procedure between 1988 and 2018. Median age was 3.3 years; 51% were male. The mean duration from ingestion to presentation was 19.8\u2009hours. Overall success of removal from the esophagus was 85.5%, with 76.5% of coins retrieved and 9% pushed into the stomach. All remaining coins were retrieved by endoscopy. Complication rate was 1.2% with nine minor and one major complications, a tracheal tear that required repair. In our recent cohort, successful fluoroscopic removal led to shorter hospital lengths of stay (3.2 vs. 18.1\u2009hours, p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n          Conclusion\u2003Patients who present with a coin in the esophagus can be successfully managed with a coin flip, which can be performed without hospital admission, with rare complications.<\/jats:p>","DOI":"10.1055\/s-0040-1718752","type":"journal-article","created":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T23:53:45Z","timestamp":1604447625000},"page":"497-503","source":"Crossref","is-referenced-by-count":2,"title":["30 Years of Flipping the Coin\u2014Heads or Tails?"],"prefix":"10.1055","volume":"31","author":[{"given":"Wendy Jo","family":"Svetanoff","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Dorman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0203-2711","authenticated-orcid":false,"given":"Charlene","family":"Dekonenko","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obiyo O.","family":"Osuchukwu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Hendrickson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason D.","family":"Fraser","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolulope A.","family":"Oyetunji","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn D.","family":"St Peter","sequence":"additional","affiliation":[{"name":"Department of Surgery, Center for Prospective Trials, Children's Mercy Hospital, Kansas City, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,11,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"679378","DOI":"10.1155\/2014\/679378","article-title":"Value and efficacy of Foley catheter removal of blunt pediatric esophageal foreign bodies","volume":"2014","author":"Y Abdurehim","year":"2014","journal-title":"ISRN Otolaryngol"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.ijporl.2012.11.025","article-title":"A systematic review of paediatric foreign body ingestion: presentation, complications, and management","volume":"77","author":"S Jayachandra","year":"2013","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1097\/01.mop.0000245361.91077.b5","article-title":"Management of esophageal coins","volume":"18","author":"M L Waltzman","year":"2006","journal-title":"Curr Opin Pediatr"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.ijporl.2005.07.010","article-title":"Pediatric coin ingestion and aspiration","volume":"70","author":"X Chen","year":"2006","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1007\/s00383-013-3331-7","article-title":"Predictive factors for successful balloon catheter extraction of esophageal foreign bodies","volume":"29","author":"A C Gasior","year":"2013","journal-title":"Pediatr Surg Int"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1016\/j.jpedsurg.2006.01.022","article-title":"Esophageal foreign bodies in the pediatric population: our first 500 cases","volume":"41","author":"D C Little","year":"2006","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/S0022-3468(98)90444-4","article-title":"Balloon extraction of esophageal foreign bodies in children","volume":"33","author":"S E Morrow","year":"1998","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref8","first-page":"125","article-title":"Removal of esophageal foreign bodies with a Foley balloon catheter under fluoroscopic control","volume":"137","author":"S Z Rubin","year":"1987","journal-title":"CMAJ"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1542\/peds.94.5.709","article-title":"Fluoroscopic foley catheter removal of esophageal foreign bodies in children: experience with 415 episodes","volume":"94","author":"J E Schunk","year":"1994","journal-title":"Pediatrics"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/S0022-5223(19)43308-4","article-title":"The use of a Foley catheter for removal of blunt foreign bodies from the esophagus","volume":"51","author":"F C Bigler","year":"1966","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"02","key":"ref11","first-page":"109","article-title":"Coins can be safely removed from the esophagus by Foley's catheter without fluoroscopic control","volume":"33","author":"S Agarwala","year":"1996","journal-title":"Indian Pediatr"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/BF01624392","article-title":"Foley catheter removal of blunt esophageal foreign bodies. Experience with 100 consecutive children","volume":"13","author":"J B Campbell","year":"1983","journal-title":"Pediatr Radiol"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1148\/105.2.455","article-title":"The use of a Foley catheter for removal of blunt esophageal foreign bodies from children","volume":"105","author":"G D Shackelford","year":"1972","journal-title":"Radiology"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/00000658-196801000-00011","article-title":"Indirect method of extraction of foreign body from the esophagus","volume":"167","author":"P N Symbas","year":"1968","journal-title":"Ann Surg"},{"issue":"05","key":"ref15","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/S0016-5107(93)70212-6","article-title":"Techniques and complications of esophageal foreign body extraction in children and adults","volume":"39","author":"P J Berggreen","year":"1993","journal-title":"Gastrointest Endosc"},{"issue":"07","key":"ref16","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1177\/000313481808400729","article-title":"Analysis of 334 cases of pediatric esophageal foreign body removal suggests that traditional methods have similar outcomes whereas a magnetic tip orogastric tube appears to be an effective, efficient, and safe technique for disc battery removal","volume":"84","author":"P B Ham III","year":"2018","journal-title":"Am Surg"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1177\/000348948209100614","article-title":"Use of Foley catheter for removal of esophageal foreign bodies. A survey","volume":"91","author":"W F McGuirt","year":"1982","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.jpedsurg.2016.10.039","article-title":"The financial impact of flipping the coin","volume":"52","author":"K W Gonzalez","year":"2017","journal-title":"J Pediatr Surg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1007\/BF02387626","article-title":"Catheter removal of blunt esophageal foreign bodies in children","volume":"19","author":"J B Campbell","year":"1989","journal-title":"Pediatr Radiol"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/S0022-3468(99)90488-8","article-title":"Cost analysis in the management of esophageal coins: endoscopy versus bougienage","volume":"34","author":"C M Calkins","year":"1999","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref21","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1097\/00006565-199704000-00017","article-title":"A literature-based comparison of three methods of pediatric esophageal coin removal","volume":"13","author":"G P Conners","year":"1997","journal-title":"Pediatr Emerg Care"},{"issue":"07","key":"ref22","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/0022-3468(93)90691-D","article-title":"A safe and cost-effective protocol for the management of esophageal coins in children","volume":"28","author":"J E Kelley","year":"1993","journal-title":"J Pediatr Surg"},{"issue":"01","key":"ref23","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1542\/peds.105.1.e5","article-title":"Four strategies for the management of esophageal coins in children","volume":"105","author":"J V Soprano","year":"2000","journal-title":"Pediatrics"},{"key":"ref24","first-page":"172","volume-title":"Ingestion of foreign bodies","author":"S R Shah","year":"2019","edition":"7th ed."},{"issue":"11","key":"ref25","first-page":"A4528","article-title":"Risk of perforation using rigid oesophagoscopy in the distal part of oesophagus","volume":"59","author":"K Wennervaldt","year":"2012","journal-title":"Dan Med J"},{"issue":"06","key":"ref26","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/j.gie.2013.12.025","article-title":"Esophageal intramural dissection after rigid esophagoscopy","volume":"79","author":"F Vilas-Boas","year":"2014","journal-title":"Gastrointest Endosc"},{"issue":"04","key":"ref27","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/S0022-3468(83)80204-8","article-title":"Management of tracheobronchial and esophageal foreign bodies in childhood","volume":"18","author":"J A O'Neill Jr","year":"1983","journal-title":"J Pediatr Surg"},{"issue":"10","key":"ref28","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/S0022-3468(88)80384-1","article-title":"Esophageal bougienage technique for coin ingestion in children","volume":"23","author":"W A Bonadio","year":"1988","journal-title":"J Pediatr Surg"},{"issue":"05","key":"ref29","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/01.mcg.0000225622.09718.5f","article-title":"Bougienage versus endoscopy for esophageal coin removal in children","volume":"41","author":"A H Dahshan","year":"2007","journal-title":"J Clin Gastroenterol"},{"issue":"06","key":"ref30","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/S0196-0644(96)70190-7","article-title":"Efficacy of esophageal bougienage by emergency physicians in pediatric coin ingestion","volume":"27","author":"H C Emslander","year":"1996","journal-title":"Ann Emerg Med"},{"issue":"04","key":"ref31","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.annemergmed.2007.09.001","article-title":"Safety and efficacy of a protocol using bougienage or endoscopy for the management of coins acutely lodged in the esophagus: a large case series","volume":"51","author":"J L Arms","year":"2008","journal-title":"Ann Emerg Med"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1718752.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T00:50:06Z","timestamp":1639615806000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1718752"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,3]]},"references-count":31,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2021,12,15]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1718752","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,3]]}}}