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Drobyazgin E.A.

Novosibirsk State Medical University of the Ministry of Health of Russia, Novosibirsk, Russia;
Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia;
Meshalkin National Medical Research Center of the Ministry of Health of the Russia, Novosibirsk, Russia

Anikina M.S.

Novosibirsk State Medical University, Novosibirsk, Russia, Novosibirsk State Regional Clinical hospital, Novosibirsk, Russia

Sudovykh I.E.

Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia

Chikinev Yu.V.

Novosibirsk State Medical University of the Ministry of Health of Russia, Novosibirsk, Russia;
Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia

Arkhipov D.A.

Novosibirsk State Medical University, Novosibirsk, Russia

Endoscopic techniques in the diagnosis and treatment of pediatric patients with foreign bodies of the lower respiratory tract

Authors:

Drobyazgin E.A., Anikina M.S., Sudovykh I.E., Chikinev Yu.V., Arkhipov D.A.

More about the authors

Journal: Endoscopic Surgery. 2020;26(2): 13‑18

DOI: 10.17116/endoskop20202602113

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Table of contents

ENDOSCOPIC TECHNIQUES IN THE DIAGNOSIS AND TREATMENT OF PEDIATRIC PATIENTS WITH FOREIGN BODIES OF THE LOWER RESPIRATORY TRACT
ENDOSCOPIC TECHNIQUES IN THE DIAGNOSIS AND TREATMENT OF PEDIATRIC PATIENTS WITH FOREIGN BODIES OF THE LOWER RESPIRATORY TRACT

To cite this article:

Drobyazgin EA, Anikina MS, Sudovykh IE, Chikinev YuV, Arkhipov DA. Endoscopic techniques in the diagnosis and treatment of pediatric patients with foreign bodies of the lower respiratory tract. Endoscopic Surgery. 2020;26(2):13‑18. (In Russ.)
https://doi.org/10.17116/endoskop20202602113

Подписка 2025-2 (Endoscopic Surgery)
МСФ на ЯМ
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The purpose. Analysis of the results of endoscopic diagnosis and treatment of foreign bodies (FB) of the trachea and bronchi in pediatric patients. Material and methods. 186 children aged 7 months to 15 years (most aged 1 to 2 years) with a diagnosis of a foreign body of the trachea or bronchi were hospitalized in the clinic. Results. Pathological changes in plain radiographs of chest organs in children with FB of the lower respiratory tract were absent in 32.2% of cases. 157 (84.4%) identified FB were of organic origin and were represented by plant seeds. Rigid and fibrobronchoscopy were used to diagnose and extract foreign bodies. Foreign bodies were removed in 184 (98.9%) patients. The combined bronchoscopy technique was used in 137 (73.7%) patients. Conclusion. Endoscopic techniques for the diagnosis and extraction of foreign bodies in pediatric patients are highly effective and safe.

Keywords:

foreign bodies of the trachea and bronchi
removal of foreign bodies
bronchoscopy
rigid bronchoscopy
flexible endoscopy

Authors:

Drobyazgin E.A.

Novosibirsk State Medical University of the Ministry of Health of Russia, Novosibirsk, Russia;
Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia;
Meshalkin National Medical Research Center of the Ministry of Health of the Russia, Novosibirsk, Russia

Anikina M.S.

Novosibirsk State Medical University, Novosibirsk, Russia, Novosibirsk State Regional Clinical hospital, Novosibirsk, Russia

Sudovykh I.E.

Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia

Chikinev Yu.V.

Novosibirsk State Medical University of the Ministry of Health of Russia, Novosibirsk, Russia;
Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia

Arkhipov D.A.

Novosibirsk State Medical University, Novosibirsk, Russia

List of references:

  1. Brkic F., Umihanic S., Altumbabic H., Ramas A., Salkic A., Umihanic S., Mujic M., Softic L., Zulcic S. Death as a Consequence of Foreign Body Aspiration in Children. 2018;72(3):220-223. 
  2. Sultan T.A., van As A.B. Review of tracheobronchial foreign body aspiration in the South African paediatric age group. 2016;8(12):3787-3796.
  3. Rodríguez H., Passali G.C., Gregori D., Chinski A., Tiscornia C., Botto H., Nieto M., Zanetta A., Passali D., Cuestas G. Management of foreign bodies in the airway and oesophagus. 2012;76(suppl 1):84-91. 
  4. Salih A.M., Alfaki M., Alam-Elhuda D.M. Airway foreign bodies: A critical review for a common pediatric emergency. 2016;7(1):5-12. 
  5. Cohen S., Goldberg S., Springer C., Avital A., Picard E. Foreign body aspiration in children. 2015;154(3):175-177, 211.
  6. Sink J.R., Kitsko D.J., Georg M.W., Winger D.G., Simons J.P. Predictors of Foreign Body Aspiration in Children. 2016;155(3):501-607. 
  7. Woo S.H., Park J.J., Kwon M., Ryu J.S., Kim J.P. Tracheobronchial foreign body removal in infants who had very small airways: A prospective clinical trial. 2018;12(2):738-745. 
  8. Johnson K., Linnaus M., Notrica D. Airway foreign bodies in pediatric patients: anatomic location of foreign body affects complications and outcomes. 2017;33(1):59-64. 
  9. Budanova M.B., Mironov A.V., Gasanov A.M. Bronchoscopy in the diagnosis and removal of tracheobronchial foreign bodies. 2015;6:34-36. (In Russ.).
  10. Sehgal I.S., Dhooria S., Ram B., Singh N., Aggarwal A.N., Gupta D., Behera D., Agarwal R. Foreign Body Inhalation in the Adult Population: Experience of 25,998 Bronchoscopies and Systematic Review of the Literature. 2015;60(10):1438-1448.
  11. Blanco Ramos M., Botana-Rial M., García-Fontán E., Fernández-Villar A., Gallas Torreira M. Update in the extraction of airway foreign bodies in adults. 2016;8(11):3452-3456.
  12. Hitter A., Hullo E., Durand C., Righini CA. Diagnostic value of various investigations in children with suspected foreign body aspiration: review. 2011;128(5):248-252. 
  13. Rusetsky Yu.Yu., Spiranskaya O.A., Chernyshenko I.O. Foreign bodies at the lower respiratory tract in children: contemporary diagnostic and therapeutic approaches. 2015;94(4):30-35. (In Russ.).
  14. Hegde S.V., Hui P.K., Lee E.Y. Tracheobronchial foreign bodies in children: imaging assessment. 2015;36(1):8-20. 
  15. Sheehan C.C., Lopez J., Elmaraghy C.A. Low rate of positive bronchoscopy for suspected foreign body aspiration in infants. 2018;104:72-75. 
  16. Holst-Albrechtsen S., Kristensen S., Larsen K. Bronchoscopy in children suspected of lower airway aspiration. 2017;64(11). pii: A5419.

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