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Early endoscopic retrieval of esophageal coins minimizes the risk of serious complications. However, significant morbidity and mortality are reported when coins are retained in the gastrointestinal tract for prolonged periods of time. We report a case in which a coin was retained in the upper esophagus for 4\u00a0years and presented a distinctive clinical course. An esophageal coin retained for a prolonged period may place the patient at a risk of complications such as tracheoesophageal fistulas. The management of patients with complicated aerodigestive tract foreign bodies is challenging. To avoid a delayed diagnosis and to improve the patients\u2019 safety, the quality of medical care in rural areas should be monitored by implementing continuous educational programs for primary physicians.<\/jats:p>","DOI":"10.1177\/01455613221106212","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T08:45:25Z","timestamp":1654591525000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Coin retained in the upper esophagus for more than 4 years: A case report and literature review"],"prefix":"10.1177","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3246-542X","authenticated-orcid":false,"given":"Hassan","family":"Assiri","sequence":"first","affiliation":[{"name":"King Saud University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waleed","family":"Alshareef","sequence":"additional","affiliation":[{"name":"King Saud University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bshair","family":"Aldriweesh","sequence":"additional","affiliation":[{"name":"King Fahad Specialist Hospital-Dammam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"AlShehri","sequence":"additional","affiliation":[{"name":"King Saud University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser","family":"AlFraih","sequence":"additional","affiliation":[{"name":"King Saud University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Latifah A.","family":"Makoshi","sequence":"additional","affiliation":[{"name":"King Saud University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004310100788"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000809"},{"issue":"9","key":"e_1_3_4_4_2","first-page":"859","article-title":"Foreign body in the upper airway and oesophagus: a seven years study from Iran","volume":"61","author":"Damghani M","year":"2011","unstructured":"Damghani M, Halavati N, Motamedi N. 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