RESUMO
OBJECTIVE: To demonstrate the use of a Roth net and to determine the maximum number of coins that can be removed per net. METHODS: During esophagogastroduodenoscopy, a Roth net was passed multiple times in order to retrieve 49 ingested coins without the use of an over tube. RESULTS: Removal of 49 coins of various sizes was accomplished. The largest of the coins was 2.4 cm. Because of damage to the nets during the withdrawal past the gastroesophageal junction, several nets were required. But, there was minimal trauma to the esophageal mucosa and no complications. CONCLUSIONS: Removal of ingested foreign objects requires individually tailored treatment. From an extensive literature search, there does not appear to be consensus for standard of care based on the variability of presentation and multiple modalities available for removal.
