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Coin stuck in food pipe taken out without surgery.
05 Feb 2018

Doctors at Rajagiri Hospital successfully took out a two rupee coin which was stuck in a four and half year old’s oesophagus (food pipe) without intervention of surgery. The parents of the four year old girl child from Aluva grew suspicious two days ago, when the child showed uneasiness and refused food intake. Following which she was rushed to a local hospital, upon examination X-Ray image showed a coin stuck in her oesophagus, she was immediately referred to Rajagiri Hospital for expert intervention.

On a normal course for such patients where a foreign body is stuck in food pipe, they are taken out with bronchoscopy and by administering anesthesia. But Dr W Ahamed Kabeer, Consultant - Paediatric Surgery, avoided surgery and anaesthesia and decided to take out the coin assisted with fluroscopy. Compared to X-Ray, radiation levels in fluroscopy are low and every movement of the coin can be easily tracked in fluroscopy.

Dr Kabeer inserted a catheter into the oesophagus and through the child’s nose he guided the catheter beyond the location of coin within oesophagus so that the tip of the catheter was positioned right below the coin. He then inflated the balloon which was at the tip of the catheter. Slowly he pulled out the inflated balloon and with it, the coin moved along as well. Tracking the movement of coin through fluroscopy he successfully pulled out the coin from the child's mouth.

The four year old had food & water after the procedure and was discharged after half an hour observation at the hospital. 

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