Conservative management of congenital bronchial atresia: The Bambino Gesù children's hospital experience.
congenital bronchial atresia
congenital lung malformation
congenital pulmonary airway malformation
conservative management
surgery
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
01
03
2021
received:
02
09
2020
accepted:
10
03
2021
pubmed:
25
3
2021
medline:
25
11
2021
entrez:
24
3
2021
Statut:
ppublish
Résumé
Congenital bronchial atresia (CBA) is a rare airway malformation. No management guidelines exist because of limited evidence: treatment, surgical or conservative, is based on consensus and opinion. To review the experience of a pediatric tertiary center and provide additional data about nonsurgical management of CBA and its outcomes after a structured follow-up, and to help formulate appropriate evidence-based guidelines. A retrospective analysis of clinical, radiological, surgical, and pathological data of all pediatric patients with suspicion of CBA referred to the surgical department of the Bambino Gesù children's hospital of Rome between December 2013 and 2019, along with a review of the literature. Among the 18 children initially included in the study, 2 were lost to follow-up after radiological diagnosis, 4 underwent surgery for radiological suspicion of other pulmonary malformations. The final population is composed of 12 conservatively managed patients. At the end of the follow-up (median: 29 months, range 3-61), 1 patient (8%) was symptomatic. Conservative management for CBA appears to be safe. Surgery should be reserved for patients with symptomatic or complicated cases.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2164-2168Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
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