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January 1983

Bronchoscopy and Bronchography in Children: Experience With 110 Investigations

Author Affiliations

From the Departments of Pediatrics (Drs Levy, Glick, and Godfrey and Mr Springer), Radiology (Dr Mogle), and Anesthesia (Drs Vatashsky and Drexler), Hadassah University Hospital, Jerusalem.

Am J Dis Child. 1983;137(1):14-16. doi:10.1001/archpedi.1983.02140270010004

• The results of 92 bronchoscopic examinations and 18 bronchograms in infants and children performed during a two-year period were reviewed. Of 62 patients with suspected foreign-body aspiration, the diagnosis was confirmed in 36 (58%); of 18 patients mainly suspected of having congenital anomalies, a positive diagnosis was made in 12 (66%); but of nine patients with lobar atelectasis only two had abnormal findings. In three patients a transbronchial biopsy specimen did not provide diagnostic material. Bronchography for suspected localized bronchiectasis was performed in 11 patients and a positive diagnosis was made in seven. In all seven patients suspected of having congenital anomalies, bronchography provided a definitive diagnosis. There was no mortality and morbidity was minimal but three patients died of their primary disease. Nearly 60% of the investigations yielded abnormal results, but many of the normal findings were of equal clinical value.

(Am J Dis Child 1983;137:14-16)