The present day spectrum of pediatric bronchoesophagology

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Abstract
We have presented an overview of the Jackson service at St. Christopher's Hospital for Children as a reflection of current pediatric bronchoesophagology in a pediatric center. As a model for study we have given our statistics for a 12‐month period; July 1, 1970, to June 30, 1971. During this period of time there were 906 procedures: 626 for airway problems and 280 for esophageal problems. Airway distress acute, chronic or recurrent, accounted for much of our airway endoscopy, although in the year reviewed not one case of croup required bronchoscopy. Caustic ingestion remained our major indication for pediatric esophagoscope. Endoscopic foreign body removed accounted for less than 6 percent of all procedures. Complications were minimal.Although a considerable amount of the work was “traditional” pediatric bronchoesophagology, much of it was for diagnosis and treatment of problems encountered only rarely by our predecessors. Advances in pediatrics, neonatology, pediatric surgery and its subspecialties have created a large population of children formerly lost but now salvageable. A significant factor in this enhanced salvage rate is the assistance of the broncho‐esophagologist.

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