Endobronchial foreign bodies in Vietnamese adults are related to eating habits

Nguyen, Lan Huu; Nguyen, Dung Huy; Tran, Thach Ngoc; Nguyen, Phung Tran; Thi, Quy Hoang; Aelony, Yossef; Homasson, J.-P.

doi:10.1111/j.1440-1843.2010.01707.x

Cited by 15 publications

(25 citation statements)

References 11 publications

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“…These findings were consistent with previous Chinese or south Asian studies (6)(7)(8), and are related to the local eating habits and customs. However, there were differences between the different age groups.…”

Section: Discussionsupporting

confidence: 82%

“…The present study consisted of 200 adult Chinese patients with FBs who were treated in the past 10 years. The age and sex distributions were similar to those in the previous studies (3,(5)(6)(7)(8)(9)(10).…”

Section: Discussionsupporting

confidence: 72%

“…They were frequently diagnosed with other pulmonary diseases, such as upper respiratory tract infections, simple pneumonia, and even lung tumors. The average delay between the development of symptoms and the diagnosis of FB aspiration ranged from 10 days to 11 months in previous studies (6,7,12) and a longer delay (15 month on average) was observed in our study. This is different from children, in whom a delayed diagnosis is rare (10,13,14).…”

Section: Discussionmentioning

confidence: 56%

“…The largest series of adults with FBs in the existing studies included 100 cases in Vietnam (6). The present study consisted of 200 adult Chinese patients with FBs who were treated in the past 10 years.…”

Section: Discussionmentioning

confidence: 99%

“…The extraction of FBs using a flexible bronchoscope is one of the most commonly used techniques (3,6,7). A few published studies have described the clinical features and endoscopic management of tracheobronchial FBs (2,3,(5)(6)(7)(8)(9)(10). However, the sample sizes of these studies were small, and few of them reported the management of the complications of FBs aspiration.…”

Section: Introductionmentioning

confidence: 99%

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Removal of Tracheobronchial Foreign Bodies in Adults Using a Flexible Bronchoscope: Experience with 200 Cases in China

et al. 2012

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Objective Tracheobronchial foreign bodies (FBs) are frequently present in adults. This study reports our experience with the managements of FB and FB-related complications using flexible bronchoscopy. Methods We retrospectively reviewed the adult patients with FBs treated between 2001 and 2011 in China. The demographic and endoscopic data were collected and analyzed. Results A total of 200 adult patients (136 men and 64 women) with an average age of 51 years were analyzed. The most common FBs included bones (51.0%), nut shells (15.0%), food boluses (7.0%), plastic toys or pen caps (6.5%). After FB aspiration occurred, only 11.0% were diagnosed within three days, while more than half of the patients (58.0%) delayed the diagnosis by more than one month. The incidence of FB-related complications was 79.5%, including granulation formation (76.5%), obstructive pneumonia (22.0%), hemorrhage (14.5%), atelectasis (10.0%) and endobronchial stenotic scarring (8.0%). In 96.5% of the patients, the FBs were successfully removed under flexible bronchoscopy. A total of 53 out of the 153 patients with granulation (34.6%) were managed by argon plasma coagulation (APC) or cryotherapy; two out of the sixteen patients with endobronchial stenotic scars were treated by balloon dilation under flexible bronchoscopy. Conclusion A high incidence of FB-related complications occurs, likely as a result of the long delay between aspiration and diagnosis, a proportion of which require endoscopic intervention. The removal of FBs under flexible bronchoscopy has a high success rate and therefore should be recommended for adults.

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Section: Discussionsupporting

confidence: 82%