Esophageal foreign body removal with foley catheter
Background
- 85-100% success rates
- 0-2% complication rates
- ideal for coins
Indications
- Recently ingested (<24-48h), smooth, blunt, radiographically opaque objects
Contraindications
- Total esophageal obstruction
- Air-Fluid levels on XR or esophagram
- Pt unable to handle secretions
- Presence of FB greater than 24-48h (higher risk of pressure necrosis
- Evidence of esophageal perforation
- Airway distress
- Multiple FB's
- Sharp FB's