The financial impact of flipping the coin.

Document Type

Article

Publication Date

1-1-2017

Identifier

DOI: 10.1016/j.jpedsurg.2016.10.039

Abstract

BACKGROUND: Esophageal foreign body retrieval is typically performed by rigid or flexible esophagoscopy. Despite evidence supporting the efficacy and safety of balloon extraction, it is rarely performed. We sought to establish the financial benefits of this minimally invasive approach.

METHODS: A retrospective review of 241 children with esophageal coins between 2011 and 2013 was performed. Coins were removed via endoscopy or fluoroscopic-guided balloon retrieval. Timing, symptoms, facility cost, and patient charges were compared.

RESULTS: Two hundred patients had attempted balloon retrieval with 80% success. Forty-one patients went directly for operative removal. Patients with respiratory difficulty (p=0.05), wheezing (p

CONCLUSIONS: Fluoroscopic guided balloon extraction of esophageal coins is a financially prudent choice which shortens hospital stay.

LEVEL OF EVIDENCE: III.

TYPE OF STUDY: Retrospective treatment and economic study.

Journal Title

Journal of pediatric surgery

Volume

52

Issue

1

First Page

153

Last Page

155

MeSH Keywords

Catheterization; Child, Preschool; Esophagoscopy; Esophagus; Female; Fluoroscopy; Foreign Bodies; Hospital Charges; Hospital Costs; Humans; Length of Stay; Male; Retrospective Studies

Keywords

Esophageal foreign body; Extraction; Retrieval; Swallowed objects

Comments

LEVEL OF EVIDENCE:

III.

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