Jamaica BLMC , Núñez Pérez-Redondo C, Guerrero ME , Flores HSS

Language: Spanish
References: 14
Page: 101-105
PDF size: 58.75 Kb.

ABSTRACT

Objective: To report a three year experience with bronchoscopy in children at the Department of Bronchoscopy of the Ismael Cosío Villegas National Institute of Respiratory Diseases (INER), in México City.
Material and methods: All patients ‹ 18 years studied by bronchoscopy in our department from January 1^st, 2004 to December 31, 2006.
Results: We performed 476 bronchoscopies, 309 (65%) in males and 167 (35%) in females, mean age 52 months, range 1 day to 17 years and 11 months; newborns 15 (3%), infants 253 (53%), toddlers 71 (15%), schoolers 77 (16%), teenagers 60 (12.6%). Origin: INER 282 (59.2%), referred from other hospitals 194 (40.8%). Indications: stridor 77 (16.2%), atelectasis 71 (14.9%), suspected foreign body 65 (13.7%), to rule out pathology of the airway 65 (13.7%), pneumonia 46 (9.7%), therapeutic procedures 41 (8.6%), GERD 33 (6.9%), suspected bronchopulmonary malformations 18 (3.8%), tuberculosis 14 (2.9%). Fiberbronchoscopy in 78.4%, rigid bronchoscopy in 12% and both procedures in 9.6%. Main endoscopic diagnosis: purulent secretions 94 (19.7%), mucous-hematic plug 54 (11.3%), subglotic stenosis 45 (9.5%), papilomatosis 31 (6.5%), foreign body 30 (6.3%), tracheobronchial malacia 29 (6%). Major complications occurred in 7 (1.5%): Desaturation ‹ 90% in 5, pneumothorax one, massive hemoptysis and death, one.
Conclusions: Bronchoscopy in children is a safe and effective procedure.

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