Aspiration in bronchoscopic practice
DOI: https://doi.org/10.29296/25877305-2022-02-10
Issue:
2
Year:
2022
Frequency and variants of aspiration with gastric contents were studied on the basis of 13 328
(100%) primary bronchoscopies performed in patients with nonspecific non-tumor lung pathology. Aspiration
into the lower airway with gastric contents was detected in 82 (0.616%) patients. In the majority of
patients included in the study group, the clinic of aspiration was masked by the clinic of the underlying
disease. Several variants of aspiration with gastric contents were proposed based on the results of the
studies: simple aspiration with gastric contents, simple multiple aspiration with gastric contents, complex
multiple aspiration with gastric contents and combined multiple aspiration with gastric contents. Maximum
problems of visual bronchoscopic diagnosis are associated with simple aspiration of gastric contents,
because the presence of gastric juice is often obscured by the presence of bronchial secretion. No
correlation of specific lower respiratory tract aspiration variants by gastric contents with specific
nosological forms of the leading non-tumor lung pathology was not identified.
Keywords:
bronchoscopy
lower airways
aspiration with gastric contents
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