소아의 식도 동전 제거에서 내시경 전에 시도한 Foley 카테터의 유용성
Feasibility of Foley Catheter Prior to Endoscopy for the Removal of Esophageal Coin in Children
강지현, 정혜정, 서진경, 박준석, 박효정, 추미애, 조승만, 최병호,
소속 상세정보
강지현 ( Kang Ji-Hyun )
경북대학교 의학전문대학원 소아과학교실
정혜정 ( Jung Hae-Jung )
경북대학교 의학전문대학원 소아과학교실
서진경 ( Suh Jin-Kyung )
경북대학교 의학전문대학원 소아과학교실
박준석 ( Park Jun-Seok )
경북대학교 의학전문대학원 소아과학교실
박효정 ( Park Hyo-Jung )
경북대학교 의학전문대학원 소아과학교실
추미애 ( Chu Mi-Ae )
경북대학교 의학전문대학원 소아과학교실
조승만 ( Cho Seung-Man )
경북대학교 의학전문대학원 소아과학교실
최병호 ( Choe Byung-Ho )
경북대학교 의학전문대학원 소아과학교실
KMID : 0816120110140030251
Abstract
Purpose: This study evaluated the efficiency and safety of the Foley catheter for esophageal removal of coins in children, compared to standard endoscopic extraction with respect to success rate, sedation, promptness and cost.
Methods: Twenty four children with coin lodgement in esophagus were managed with either a Foley catheter (n=14) or endoscopic extraction (n=10) from January 2007 through August 2010 at Kyungpook National University Hospital. A retrospective review of medical records and radiological findings was performed.
Results: Of the 14 patients who underwent Foley catheter extraction, successful and complication-free removal was achieved in 10 cases (71.4%). Of the 10 patients who underwent endoscopic extraction, all cases were successful (p=0.114). Sedation rate in the Foley catheter and endoscopic extraction group was 6/14 and 10/10 (p=0.006). The average wait time before the procedure and average hospital charge (US$) were 2.0±1.1 hours and 18.1±13.7 hours, and $113 and $428 for Foley catheter extraction and endoscopic extraction, respectively.
Conclusion: Foley catheter extraction may be tried for the removal of esophageal coins in uncomplicated children. The technique is effective, safe, inexpensive and free of general anesthesia.
키워드
Foley balloon catheterization;Coins;Childhood
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