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Arch Pediatr Adolesc Med. 2000;154:1061.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I read with interest the recently published study entitled, "The Spontaneous Passage of Esophageal Coins in Children."¹ As a pediatric gastroenterologist, I certainly share the authors' concern about the proper management of this relatively frequently encountered entity. I commend the authors' attempt at quantifying the spontaneous passage rate of esophageal coins in children. To this end, it would have been helpful to have stratified by age and size of the child and size of the coin in each case (ie, penny, dime, nickel, quarter). I am also curious as to how some of the conclusions of this study were reached.

The authors define a group of children as having "simple presentations" of esophageal coins. By their definition, this means that there is a single coin lodged for less than 24 hours in a child who has no history of esophageal disease and no respiratory compromise. The authors conclude that such . . . [Full Text of this Article]