Complication rates in rigid vs. flexible endoscopic foreign body removal in children

Wiemers, Anna; Vossen, Christina; Lücke, Thomas; Freitag, Nadine; Nguyen, Thi Minh Thao Lea; Möllenberg, Leon; Pohunek, Petr; Schramm, Dirk

doi:10.1016/j.ijporl.2023.111474

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…In the study of Wiemers et al, the overall complication rate of rigid and flexible bronchoscopy was 19.1% vs. 24.2% and respiratory complications occurred significantly less frequently during rigid bronchoscopy (9.2% vs. 16.3%). 11 Hence they concluded that bronchoscopy is a safe procedure when done by a skilled surgeon.…”

Section: Discussionmentioning

confidence: 99%

Clinicodemographic Profile and Treatment Outcomes of Patients with Upper Aerodigestive Tract Foreign Bodies in the Southern Philippines Medical Center: A Five-Year Retrospective Review

Tagsa,

Segocio

2024

Philipp J Otolaryngol Head Neck Surg

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Objective: This study aims to describe the clinicodemographic profile of patients with foreign bodies in the upper aerodigestive tract and their treatment outcomes. Methods: Design: Retrospective review of records Setting: Tertiary Government Training Hospital Participants: Records of 304 patients diagnosed with aerodigestive foreign bodies Results: Three hundred-four (304) patients were included. The median age was 5.26 years in the pediatric age group and 42.53 years in the adult age group, with a male-to female ratio = 1.97:1. Foreign bodies were ingested in 291 (96%) patients while aspiration occurred in 13 (4%). Overall, 211 (69%) of cases involved the pediatric population (<19 years) and 93 (31%) the adult population. The most common foreign bodies reported were coins (63.5%), food (18.1%), and dentures (11.5%). Most esophageal foreign bodies (244/291; 83%) were seen at the cricopharyngeal level in all age groups. The foreign body was removed successfully in 288/291 (98%) of ingestion cases. All 13 cases of foreign body aspiration were successfully removed by bronchoscopy. All patients were discharged improved. Conclusion: Most upper aerodigestive tract foreign bodies involved the pediatric age group. Predisposing conditions were mainly due to accidental ingestion and aspiration while playing in the pediatric population and negligence in eating among adults. Almost all ingestion cases were successfully treated with esophagoscopy, while all aspirations were treated successfully with bronchoscopy. Most intraoperative and postoperative complications who were managed conservatively by observation, although some cases required referral to other surgical departments and were treated surgically. All patients were discharged improved

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Section: Discussionmentioning

confidence: 99%

Clinicodemographic Profile and Treatment Outcomes of Patients with Upper Aerodigestive Tract Foreign Bodies in the Southern Philippines Medical Center: A Five-Year Retrospective Review

Tagsa,

Segocio

2024

Philipp J Otolaryngol Head Neck Surg

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“…A broncoscopia rígida é preferida em crianças e adolescentes sem comorbidades, maior tempo de aspiração, materiais de consistência rígida e tentativas prévias de remoção fracassadas [16]. As preferências por broncoscopia flexível e rígida são contraditórias nas revisões [5,7,14,17] devido às semelhanças de complicações [18] e podem se complementar na prática médica.…”

Section: Discussionunclassified

Eliminação espontânea de corpo estranho em via aérea inferior: um relato de caso

Siqueira¹,

Rodriguez²,

Torres³

et al. 2023

Braz. J. Hea. Rev.

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A aspiração de corpo estranho é uma emergência médica potencialmente fatal, na qual os pacientes podem apresentar uma sintomatologia variada. É crucial intervir prontamente para aliviar a obstrução, uma vez que a eliminação espontânea do corpo estranho é rara e pode levar a complicações. O caso descrito envolve uma paciente que expeliu espontaneamente um osso de galinha que estava alojado cronicamente em brônquio fonte. Em adultos, a ocorrência é mais comum em homens e idosos, particularmente no brônquio direito. O tratamento envolve a remoção do corpo estranho por meio de intervenções como estimulação da tosse, golpes nas costas e impulsos abdominais. Geralmente, a broncoscopia flexível é eficaz, mas em casos específicos, a broncoscopia rígida pode ser preferida.

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“…In contrast, Wiemers et al noted a similar overall complication rate between rigid and flexible bronchoscopy (19.1% versus 24.2%, p = 0.232), with higher respiratory complications associated with flexible bronchoscopy (9.2% versus 16.3%, p = 0.025). However, in cases with comprehensive respiratory monitoring and a secure airway, as seen in our intubated patient, flexible bronchoscopy proves to be a safe procedure [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Flexible Bronchoscopy Combined With an Airway Maneuver for Foreign Material Removal Under Invasive Mechanical Ventilation

Zakynthinos,

Mpaggeas,

Deskata

et al. 2023

Cureus

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We present a case of a patient who had aspirated a massive amount of food, leading to cardiac arrest, and had to be intubated because of severe hypoxemia. The hypoxemia persisted, regardless of the recruitment maneuvers, performance of flexible bronchoscopy, and suctioning through the ventilating tube, because we were unable to reach the left main bronchus (LMB), where the greatest amount was concentrated. However, we managed to overcome this problem by using a prototype handling technique to catheterize the LMB directly with the usage of the flexible bronchoscope. We introduce this handling technique for the removal of foreign material from the LMB, which will probably be really useful in emergency situations, because of its simplicity and effectiveness.

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Complication rates in rigid vs. flexible endoscopic foreign body removal in children

Cited by 3 publications

References 18 publications

Clinicodemographic Profile and Treatment Outcomes of Patients with Upper Aerodigestive Tract Foreign Bodies in the Southern Philippines Medical Center: A Five-Year Retrospective Review

Clinicodemographic Profile and Treatment Outcomes of Patients with Upper Aerodigestive Tract Foreign Bodies in the Southern Philippines Medical Center: A Five-Year Retrospective Review

Eliminação espontânea de corpo estranho em via aérea inferior: um relato de caso

Flexible Bronchoscopy Combined With an Airway Maneuver for Foreign Material Removal Under Invasive Mechanical Ventilation

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