{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T10:54:18Z","timestamp":1761648858718,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe variation in the initial management of children presenting to Emergency Departments (ED) with coins lodged in the oesophagus. To determine the usage of hand\u2010held metal detectors (HHMDs) in EDs, including their role in clinical decision\u2010making, and training in their use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Online multicentre cross\u2010sectional survey of EDs in the UK and Ireland, with results described using descriptive statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010five (90%) of 61 sites responded. The two main strategies described for lodged oesophageal coins were endoscopic removal or observation with reassessment, dependent on location. For coins in the proximal third of the oesophagus 43\/55 (78.2%) referred for endoscopic removal, 6\/55 (10.9%) observed and the remaining 10.9% used a variety of methods, including: Foley catheter removal with fluoroscopy, blind Foley catheter removal, referral to paediatric surgery\/ENT. Thirty (55%) of 55 used HHMDs, 21\/30 (70%) had guidelines for their use, and 3\/30 (10%) provided formal training. Twenty (67%) of 30 used the xiphisternum as the anatomical cut\u2010off for assuming safe passage of metallic foreign bodies (FB) beyond the lower oesophageal sphincter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is considerable variation in the management of oesophageal coins in children, though two dominant strategies were identified. As endoscopy is significantly more invasive than observation, future research should aim to determine whether either is more effective and safer in children. There is a clear division in departmental adoption of HHMDs. However, in those sites using HHMDs there was little formal training in their use, and there are large variations in techniques and their role in clinical decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15343","type":"journal-article","created":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T07:10:32Z","timestamp":1615792232000},"page":"867-871","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand\u2010held metal detector use"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9438-5391","authenticated-orcid":false,"given":"Max","family":"Lafferty","sequence":"first","affiliation":[{"name":"Paediatric Emergency Department South Tyneside and Sunderland NHS Foundation Trust  Sunderland United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark D","family":"Lyttle","sequence":"additional","affiliation":[{"name":"Emergency Department Bristol Royal Hospital for Children  Bristol United Kingdom"},{"name":"Faculty of Health and Applied Sciences University of the West of England  Bristol United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niall","family":"Mullen","sequence":"additional","affiliation":[{"name":"Paediatric Emergency Department South Tyneside and Sunderland NHS Foundation Trust  Sunderland United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"PERUKI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(95)90047-0"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310201107"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(84)80294-2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/15513819009064718"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.08.010"},{"key":"e_1_2_7_7_1","first-page":"133","article-title":"Paediatric gastrointestinal endoscopy: European Society for Paediatric Gastroenterology Hepatology and Nutrition and European Society of gastrointestinal endoscopy guidelines","volume":"64","author":"Thompson M","year":"2017","journal-title":"JPGN"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2015.06.025"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.94.5.709"},{"key":"e_1_2_7_10_1","first-page":"44","article-title":"Efficacy and safety of oesophageal coins removal using a Foley balloon catheter without fluoroscopic control (blind method)","volume":"111","author":"Barman D","year":"2013","journal-title":"J. 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