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In Reply.—Dr Zonakis' letter expresses genuine concern for patient safety and comfort, which is commendable and appropriate. Those of us in pediatric institutions across the country who use the Foley catheter method have already considered Dr Zonakis' concerns and are convinced that our nonoperative method, when properly performed, is the safest approach and, usually, the treatment of choice.
Children rarely lodge more than one foreign body in the esophagus. In our experience, that occurs in approximately 10% of patients, and the foreign body is almost invariably a similar item, usually a coin. If the patient has a history of foreign-body ingestion or if the circumstances surrounding the ingestion are not clear, an esophagram is performed to rule out the presence of an additional nonopaque foreign body.
Continuous fluoroscopy shows that a properly inflated Foley balloon neither displaces the esophagotracheal wall nor produces airway obstruction.
There is certainly no objection to
CAMPBELL JB, FOLEY LC. Foley Catheter Technique-Reply. Arch Otolaryngol. 1984;110(1):63. doi:10.1001/archotol.1984.00800270067018
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