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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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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?


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randomised controlled trial.

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

  • Source of funding: no external funding.