소아 76명에서의 굴곡성 기관지 내시경술: 적응증, 이득그리고 합병증
Flexible bronchoscopy in 76 children: Indications, yield, and complications
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Purpose: This study was performed to investigate the indications, yield, and complications of fl exible bronchoscopy for respiratory disease in children compared to earlier domestic studies and to examine if any diff erences existed in comparison to international studies. Methods: The medical records of 100 cases of fl exible bronchoscopy that were performed in 76 patients at the Department of Pedi- atrics of The Catholic University of Korea, Seoul St. Mary's Hospital from June 16, 2010 to August 6, 2013 were reviewed. Results: A total of 76 patients (50 males and 26 females) were included in the study. The most common indication of fl exible bron- choscopy was persistent pneumonia or pneumonia in immunocompromised patients (53 cases). The object of fl exible bronchos- copy was accomplished in 65 of 100 cases, and, the treatment was changed in 24 of 65 cases. The most common abnormal fi nding was tracheomalacia that was found in 18 cases. In 67 cases where bronchoalveolar lavage was performed, bacteria were identifi ed in 47 cases, fungi in 9 cases, and viruses in 22 cases. Complications occurred in 8 cases. Conclusion: Compared to earlier domestic studies, there was no signifi cant change in diagnostic approaches and therapeutic im- provement. However, this study showed that fl exible bronchoscopy appears to be safe in patients with hemato-oncologic disease. Compared to international studies, the occurrence of complications due to fl exible bronchoscopy was relatively low.
Abstract
Purpose: This study was performed to investigate the indications, yield, and complications of fl exible bronchoscopy for respiratory disease in children compared to earlier domestic studies and to examine if any diff erences existed in comparison to international studies. Methods: The medical records of 100 cases of fl exible bronchoscopy that were performed in 76 patients at the Department of Pedi- atrics of The Catholic University of Korea, Seoul St. Mary's Hospital from June 16, 2010 to August 6, 2013 were reviewed. Results: A total of 76 patients (50 males and 26 females) were included in the study. The most common indication of fl exible bron- choscopy was persistent pneumonia or pneumonia in immunocompromised patients (53 cases). The object of fl exible bronchos- copy was accomplished in 65 of 100 cases, and, the treatment was changed in 24 of 65 cases. The most common abnormal fi nding was tracheomalacia that was found in 18 cases. In 67 cases where bronchoalveolar lavage was performed, bacteria were identifi ed in 47 cases, fungi in 9 cases, and viruses in 22 cases. Complications occurred in 8 cases. Conclusion: Compared to earlier domestic studies, there was no signifi cant change in diagnostic approaches and therapeutic im- provement. However, this study showed that fl exible bronchoscopy appears to be safe in patients with hemato-oncologic disease. Compared to international studies, the occurrence of complications due to fl exible bronchoscopy was relatively low.
참고문헌 (14)
- Wood RE, "Applications of flexible fiberoptic bronchoscopes in infants and children", Chest, 73(5 Suppl), pp.737~740 (1978)
- Barbato A, "Use of the paediatric bronchoscope, flexible and rigid, in 51 European centres", Eur Respir J, 10, pp.1761~1766 (1997)
- Nussbaum E, "Flexible fiberoptic bronchoscopy and laryngoscopy in infants and children", Laryngoscope, 93, pp.1073~1075 (1983)
- Tang LF, "Fiberoptic bronchoscopy in neonatal and pediatric intensive care units: a 5-year experience", Med Princ Pract, 18, pp.305~309 (2009)
- Wood RE, "Pitfalls in the use of the flexible bronchoscope in pediatric patients", Chest, 97, pp.199~203 (1990)
- Rodrigues AJ, "Bronchoscopic techniques for removal of foreign bodies in children's airways", Pediatr Pulmonol, 47, pp.59~62 (2012)
- 문청준, "소아 굴곡성 기관지 내시경술: 단일 기관에서 100례의 임상 경험", Allergy Asthma & Respiratory Diseases, 21(4), pp.313~318 (2011), 대한 소아알레르기 호흡기학회
- 안혜성, "단일 기관에서 소아 굴곡성 기관지내시경에 대한 임상 경험", Allergy Asthma & Respiratory Diseases, 21(3), pp.226~233 (2011), 대한 소아알레르기 호흡기학회
- Field-Ridley A, "Utility of flexible fiberoptic bronchoscopy for critically ill pediatric patients: a systematic review", World J Crit Care Med, 4, pp.77~88 (2015)
- de Blic J, "Complications of flexible bronchoscopy in children: prospective study of 1,328 procedures", Eur Respir J, 20, pp.1271~1276 (2002)
- Manna SS, "Retrospective evaluation of a paediatric intensivist-led flexible bronchoscopy service", Intensive Care Med, 32, pp.2023~2033 (2006)
- Bar-Zohar D, "The yield of flexible fiberoptic bronchoscopy in pediatric intensive care patients", Chest, 126, pp.1353~1359 (2004)
- Green CG, "Flexible endoscopy of the pediatric airway", Am Rev Respir Dis, 145, pp.233~235 (1992)
- Peng YY, "Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: a report on 5 years of experience", Pediatr Pulmonol, 46, pp.1031~10371 (2011)