Removal of Coins in the Esophagus Using a Foley Catheter

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Abstract
In an attempt to avoid esophagoscopy ferrous containing foreign bodies have been removed from the esophagus using a magnet under fluoroscopic control. In the case of smooth objects such as coins which present little danger of perforation, a well lubricated Levine tube has been used to push the coin into the stomach. The use of a Foley catheter both with and without fluoroscopic control has been advocated but except for some unpublished material from our own institution, no large series has been amassed. The technique consists of inserting a well lubricated #10 French Foley catheter with a 5-cc bag through the nose, well past the level of the coin. In our experience, the coins are usually impacted just below the cricopharyngeus.
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