Surgical treatment of late-diagnosed bronchial foreign body aspiration: a report of 23 cases

Authors

  • Liang Duan,

    1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
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  • Xiaofeng Chen,

    1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
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  • Hao Wang,

    1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
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  • Xuefei Hu,

    1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
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  • Gening Jiang

    Corresponding author
    1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
    • Correspondence

      Gening Jiang, MD, Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, no. 507 Zhengmin Road, 200433 Shanghai, China.

      Tel: +86 21 65115006 ext. 2087

      Fax: +86 21 65111298

      email: jianggening@163.com

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  • Authorship and contributorship
  • Liang Duan and Gening Jiang designed the study and wrote the manuscript. Liang Duan, Xiaofeng Chen and Hao Wang gathered and analysed literature data. Xuefei Hu and Hao Wang collected clinical data.
  • Ethics
  • The Ethics Committee of Shanghai Pulmonary Hospital of Tongji University School of Medicine approved the study protocol.
  • Conflict of interest
  • The authors have stated explicitly that there are no conflicts of interest in connection with this article.

Abstract

Background and Aims

Late-diagnosed bronchial foreign bodies can lead to irreversible changes in the bronchi and the lungs. To date, few reports are available concerning surgical treatment for this condition. The present report summarizes clinicopathological features and surgical treatment options for late-diagnosed bronchial foreign body aspiration.

Methods

Clinical data of 23 patients who underwent surgical treatment for late-diagnosed bronchial foreign body aspiration in our hospital from 1980 to 2010 were reviewed.

Results

The patients included 17 male and six female patients, aged 6 to 66 years. To remove the foreign body, bronchotomy was performed in six patients and pulmonary resection in 17 patients. Foreign bodies were located on the right side in 17 cases and on the left side in six cases. The majority of the foreign bodies were of food origin. Postoperative bronchopleural fistula occurred in two patients. One patient died of renal failure subsequent to lung infections.

Conclusions

Detailed history, awareness of potential foreign body aspiration and thorough bronchoscopic examination are helpful to avoid pulmonary resection. However, the latter is necessary in patients with the associated substantial lung lesions to prevent these from progressing into serious lung infections such as pulmonary suppuration or empyema.

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