Open Access, Peer-reviewed
pISSN 2288-0402
eISSN 2288-0410
    Allergy Asthma Respir Dis. 2016 May;4(3):181-187. Korean.
    Published online May 31, 2016.
    https://doi.org/10.4168/aard.2016.4.3.181
    © 2016 The Korean Academy of Pediatric Allergy and Respiratory Disease; The Korean Academy of Asthma, Allergy and Clinical Immunology
    Original Article

    Flexible bronchoscopy in 76 children: Indications, yield, and complications

    Woo Ri Bae,1 Kyung Pil Moon,1 Kyong Won Bang,2 Hwan Soo Kim,1 Yoon Hong Chun,1 Jong Seo Yoon,1 Hyun Hee Kim,1 and Jin Tack Kim1
      • 1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
      • 2I to B Pediatrics, Seoul, Korea.
    • Correspondence to: Kyong Won Bang. I to B Pediatrics, 196 Dongjak-daero, Seocho-gu, Seoul 06555, Korea. Tel: +82-2-532-6400, Fax: +82-2-532-6401, Email: crystallar@hanmail.net
    Received August 17, 2015; Revised September 25, 2015; Accepted October 06, 2015.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).

    Abstract

    Purpose

    This study was performed to investigate the indications, yield, and complications of flexible bronchoscopy for respiratory disease in children compared to earlier domestic studies and to examine if any differences existed in comparison to international studies.

    Methods

    The medical records of 100 cases of flexible bronchoscopy that were performed in 76 patients at the Department of Pediatrics 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 flexible bronchoscopy was persistent pneumonia or pneumonia in immunocompromised patients (53 cases). The object of flexible bronchoscopy was accomplished in 65 of 100 cases, and, the treatment was changed in 24 of 65 cases. The most common abnormal finding was tracheomalacia that was found in 18 cases. In 67 cases where bronchoalveolar lavage was performed, bacteria were identified 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 significant change in diagnostic approaches and therapeutic improvement. However, this study showed that flexible bronchoscopy appears to be safe in patients with hemato-oncologic disease. Compared to international studies, the occurrence of complications due to flexible bronchoscopy was relatively low.

    Keywords
    Flexible bronchoscopy; Child; Indication; Yield; Complication

    Tables

    Table 1
    Characteristics of patients (n=76, case=100)

    Table 2
    Indication for pediatric flexible bronchoscopy (case=100)

    Table 3
    Yield of pediatric bronchoscopy (case=100)

    Table 4
    Bronchoscopic finding of patients (case=100)

    Table 5
    Cultured pathogens of bronchoalveolar lavage and bronchoscopic washing (case=68)

    Table 6
    Complications during the Procedure (case=100)

    Table 7
    Characteristics of main studies reporting pediatric bronchoscopy

    References

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    MeSH Terms
    Bacteria
    Bronchoalveolar Lavage
    Bronchoscopy*
    Child*
    Fungi
    Humans
    Immunocompromised Host
    Korea
    Male
    Medical Records
    Pediatrics
    Pneumonia
    Seoul
    Tracheomalacia
    Metrics
    Share
    Tables
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