During last 6 years (1968-1973), 49 cases of foreign bodies in the oesophagus were treated in the author's clinic. As for the kind of the foreign bodies, 26 cases (53%) were coins, 9 cases (18%) of fish bone, 8 cases (16%) of chicken bone, etc..
Generally in Japan and Korea coin cases occur most frequently, accounting for 40% to 70% of all cases fo foreign bodies in the oesophagus, while in U.S.A. and European countries they are not so large in number, only reaching 10% to 20%. Such a large number of coin cases in Japan and Korea is presumed to be related with the size of coin.
The most circulating coins in Japan and Korea are 10 yen coin (Japan) and 1 whan and 10 won coin (Korea). Their sizes are respectively 23.5mm, 19mm, and 23mm in diameter fittest to stay in the infant's oesophagus.
On the other hand in U.S.A. and European countries, for example, 10 cent coin (U.S.A. and the Netherlands) and 1 penny and 10 pence coin (England) are larger or smaller than Japanese and Korean coin. Their sizes are respectively 17mm, 15mm, and 29mm in diameter.
For the prevention of the coin case, therefore, it is necsssary to reform the size of Japanese coin into about 15mm or larger than 30mm in diameter.
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