Endoscopic incisional therapy for an epithelialized coin in the proximal esophagus and self-assembling peptide hydrogel use in a toddler

Children younger than 2 years old experience the greatest frequency of accidental ingestions, with coins being the most common foreign body ingestion. [1][2]2][3] Although esophageal foreign bodies typically are managed with endoscopic removal, retained foreign bodies may erode into the esophageal wall and damage adjacent structures. 2,4,5Existing case reports describe open neck dissection for remotely ingested coins that migrate through the esophageal mucosa. 6his case details an endoscopic incisional approach for remotely ingested coin removal, which to our knowledge has not been previously reported.Further, it illustrates a lack of conductance damage through a metal coin while using electrosurgical tools. 7,8Finally, it details the first published use, to our knowledge, of a self-assembling peptide matrix for pediatric endoscopic wound management.