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A Prospective Study of Coin Location and Symptoms

Jeff E. Schunk, MD; Howard Corneli, MD; Robert Bolte, MD

Am J Dis Child. 1989;143(5):546-548.

Abstract
• Coins are the most common esophageal foreign body in children. We prospectively evaluated 52 consecutive children who had swallowed coins to determine the incidence of asymptomatic esophageal coins and the rate of spontaneous passage. All patients had a roentgenogram; coins were removed from the esophagus if the patient was symptomatic. Children with asymptomatic esophageal coins were allowed less than 24 hours to pass the coin to the stomach. Thirty children had esophageal coins; of these, 9 (30%) were asymptomatic. The presence of symptoms was significantly associated with esophageal coins, but the absence of symptoms did not reliably exclude the possibility of an esophageal coin. All children who swallow coins should undergo roentgenographic evaluation.

(AJDC. 1989;143:546-548)

Author Affiliations
From the Division of Emergency Medicine, Childrens Hospital of Los Angeles (Calif) (Dr Schunk); and Department of Pediatrics, Primary Children's Medical Center, University of Utah Medical Center, Salt Lake City (Drs Corneli and Bolte).

Footnotes
Accepted for publication February 10, 1989.

Presented at the 28th Annual Meeting of the Ambulatory Pediatric Association, May 3, 1988, Washington, DC.

Reprint requests to Division of Emergency Medicine, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Schunk).

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