The financial impact of flipping the coin.
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 of pediatric surgery
Catheterization; Child, Preschool; Esophagoscopy; Esophagus; Female; Fluoroscopy; Foreign Bodies; Hospital Charges; Hospital Costs; Humans; Length of Stay; Male; Retrospective Studies
Esophageal foreign body; Extraction; Retrieval; Swallowed objects
Gonzalez KW, Reddy SR, Mundakkal AA, St Peter SD. The financial impact of flipping the coin. J Pediatr Surg. 2017;52(1):153-155. doi:10.1016/j.jpedsurg.2016.10.039