Bronchoscopy-Esophagoscopy Experiences of a Pediatric Surgeon: 5 Years Retrospective Study Bir Çocuk Cerrahının Bronkoskopi-Özofagoskopi Tecrübeleri: Beş Yıllık Retrospektrif Çalışma

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Ayvaz O. D., CELAYİR A.

Turkiye Klinikleri Journal of Medical Sciences, cilt.43, sa.2, ss.160-170, 2023 (Scopus, TRDizin)

Özet

Objective: In this study, it was aimed to reveal the experiences of a pediatric surgeon who started to work in a 3rd level train-ing-research hospital, with rigid bronchoscopy and esophagoscopy in emergency, semi-emergency or elective situations. Material and Methods: This study was performed retrospectively from hospital records in children who underwent rigid esophagoscopy and/or bron-choscopy by a single physician with various diagnoses such as foreign body aspiration, foreign body in the esophagus, ingestion of corrosive substances, and dysphagia between January 2016-December 2021. Re-sults: A total of 58 esophagoscopy and/or bronchoscopy were performed in 54 patients in our clinic. Esophagoscopy was performed in 43 patients. Twenty (47%) had ingestion of corrosive substances, 16 (37%) had foreign bodies, 3 (6.9%) had anastomotic stenosis and 1 (2.2%) was diagnosed with esophageal stricture. Esophagoscopy was performed in 3 (6.9%) cases with a history of foreign body aspiration because there was no foreign body in bronchoscopy. Bronchoscopy was performed on 15 patients. Bronchoscopy was also performed in a patient whose foreign body was not detected in esophagoscopy. No per-operative complications were observed in any patient who underwent esophagoscopy with a pre-diagnosis of corrosive substance ingestion. Iatrogenic migration of foreign body occurred in a patient who underwent esophagoscopy. Bleeding and bronchospasm developed in 1 patient each. No postoperative complications were observed in any of the patients. Conclusion: Bronchoscopy and esophagoscopy are invasive procedures that make physicians uneasy both in terms of anesthesia and surgery. In patients with a definite or doubtful anamnesis; it should also be taken into account that clinical and radiological findings could be normal. Diagnosis can be confirmed as soon as possible and morbidity and mortality can be reduced with early treatment. With a tissue-re-specting surgical technique, the rate of procedure-related complications can be minimized without lack of theoretical knowledge.