Gizem ÖZCAN, Özlem Selvi CAN, Fazılcan ZİREK, Merve Nur TEKİN, Nazan ÇOBANOĞLU

Çocukluk Çağında Fleksible Bronkoskopi: 5 Yıllık Tek Merkez Deneyimi

Amaç: Fleksible bronkoskopi (FB), çocukluk çağı solunumsal hastalıklarının tanısında kullanılan yöntemlerden biridir. Bu tanısal yöntem ile burun, yutak, gırtlak ve trakeobronşiyal ağaç değerlendirilir. Bu çalışmada, beş yıllık FB deneyimimizi sunmayı ve FB’nin çocuk hastalarda tanısal yararına dikkat çekmeyi amaçladık. Gereç ve Yöntem: Ankara Üniversitesi Tıp Fakültesi Çocuk Göğüs Hastalıkları Bilim Dalı’nda 1 Mart 2014 ile 1 Mart 2019 tarihleri arasında uygulanan FB işlemlerini geriye dönük olarak değerlendirdik. Hastaların yaşı, cinsiyeti, kronik hastalıkları, FB endikasyonu, uygulama yolu, kullanılan bronkoskopi boyutu, bronkoalveoler lavajın nereden yapıldığı, patolojik bronkoskopik bulgular ve işlem ile ilişkili komplikasyonlar incelendi. Bulgular: Toplam 310 hastaya 316 FB işlemi uygulandı. Hastaların 170’i (%53,7) erkekti. Hastaların ortanca yaşı 48 aydı. En sık üç endikasyon olarak atelektazi (n=68, %21,5), kronik öksürük (n=53, %16,8) ve stridor (n=42, %13,3) saptandı. İki yüz otuz beş (%74,4) hastada FB işlemi ile tanısal bulgu saptandı. On beş (%4,7) hastada işlem ile ilişkili minör komplikasyon gelişti, bu hastaların 10’unda (%3,4) kısa süreli hipoksemi mevcuttu. Sonuç: Solunumsal şikayeti olan çocuk hastalarda birçok endikasyon ile FB işlemi yapılabilir. İşlem öncesi yeterli hazırlık ve işlemin tecrübeli ekipler tarafından yapılması işlemin güvenli bir şekilde tamamlanabilmesi için çok önemlidir.

Flexible Bronchoscopy in Childhood: 5-year Single-center Experience

Objectives: Flexible fiberoptic bronchoscopy (FB) is one of the methods used for the diagnosis of childhood respiratory diseases. This diagnostic method allows the examination of the nose, pharynx, larynx and tracheobronchial tree. In this study, we aimed to present our five-year FB experience and to draw attention to the diagnostic benefit of FB in childhood. Materials and Methods: We retrospectively evaluated the indications and results of 316 FB procedures performed in our center between March 1, 2014 and March 1, 2019. Patients’ age, gender, chronic diseases, indication of FB, route of administration, size of bronchoscopy used, microbiological and cytological examination results of bronchoalveolar lavage liquid, pathological bronchoscopic findings, diagnosis and complications during bronchoscopy were examined. Results: In the five-year period, a total of 300 patients underwent 316 FB procedures. One hundred and seventy of 316 FB patients that were evaluated (53.7%) were boys. The median age of the patients was 48 months. The most common indications for bronchoscopy were atelectasis (n=68, 21.5%), chronic cough (n=53, 16.8%) and stridor (n=42, 13.3%). Diagnostic findings were obtained during bronchoscopy in 235 (74.4%) patients. Fifteen (4.7%) patients developed minor complications and 10 (3.4%) of these patients had short-term hypoxemia during the procedure. Conclusion: FB in childhood is a method that can be performed with many indications in patients with respiratory symptoms. Adequate preparation prior to the procedure and careful monitoring of the patient by a trained team during the procedure are crucial for the safe completion of the procedure.

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