I am not aware of kids with esophageal FB who acutely (days) develop respiratory distress. I think the concern is esophageal erosion and mediastinitis more than airway. So we almost always observe them for those 8-12 hours you talked about. But we admit them because if they still haven't passed it out of the esophagus by morning we will scope them and remove it.
David F. Soglin, M.D.
Chairman, Department of Pediatrics
Interim Chairman, Division of Pediatric Emergency Medicine
Cook County Hospital
700 S Wood Street
Chicago, IL 60612
(312)633-6530; fax (312)633-6769;
---------- Original Message ----------------------------------
From: Maureen McCollough Hill <[log in to unmask]>
Reply-To: Maureen McCollough Hill <[log in to unmask]>
Date: Mon, 23 Sep 2002 13:52:33 -0700
>we may have had this discussion before. has anyone heard of a child
>developing an airway problem who originally had an ASYMPTOMATIC
>esophageal coin FB that was allowed to be observed for 8-12 hrs to see
>if it passes?? one study from NY poison center followed asymptomatic
>kids by phone for 6 months who had swallowed a coin. Some were probably
>initially in the esophagus and passed on their own. and if you
>observe these kids, do you admit them??
>For more information, send mail to [log in to unmask] with the message: info PED-EM-L
>The URL for the PED-EM-L Web Page is:
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