Tropical Doctor > Volume 39, Number 2 > Pp. 97-98

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Methods and Devices

The use of Foley's catheter in the removal of a coin in the oesophagus

K Bowa MMed FRCS FACS      B Bvulani MMed     L Mukonge FRCS FCS  

University Teaching Hospital Lusaka, Lusaka, Zambia

Correspondence to: K Bowa Email: kbowa{at}yahoo.com

A coin in the oesophagus is a common paediatric emergency in Zambia. There are very few specialist surgeons and hospitals where endoscopic removal can be carried out in many resource-limited countries. The technique described here allows the removal of an ingested coin using an ordinary Foley's catheter. The use of this technique under fluoroscopic guidance has been described in literature. However, fluoroscopic facilities and trained radiologists are not commonly available in many parts of Africa. This technique is simple, safe and has a success rate close to that achieved by endoscopic removal.

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