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  • Need for endoscopic removal of oesophageal coins in children was similar for strategies of immediate removal and watchful waiting

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Need for endoscopic removal of oesophageal coins in children was similar for strategies of immediate removal and watchful waiting

https://doi.org/10.1136/ebn.9.2.42

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    Waltzman ML, Baskin M, Wypij D, et al. A randomized clinical trial of the management of esophageal coins in children. Pediatrics 2005;116:614–9.OpenUrlAbstract/FREE Full Text

    Q In children presenting to the emergency department with a coin lodged in the oesophagus, what are the effects of relatively immediate endoscopic removal of the coin and watchful waiting?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}.*

    Embedded ImageBlinding:

    blinded {data analysts}.*

    Embedded ImageFollow up period:

    duration of hospital stay.

    Embedded ImageSetting:

    an emergency department in Boston, Massachusetts, USA.

    Embedded ImagePatients:

    60 children ⩽21 years of age (mean age 51 mo, 52% boys) who had ingested coins that were lodged in the oesophagus. Exclusion criteria were previous tracheal or oesophageal surgery, more than minimal symptoms (respiratory distress, drooling, or choking), …

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    Footnotes

    • For correspondence: Dr M L Waltzman, Division of Emergency Medicine, Children’s Hospital Boston, Boston, MA, USA. mark.waltzman{at}childrens.harvard.edu

    • Source of funding: no external funding.