Objective endoscopic findings in XXXX with recurrent croup: 10-year retrospective analysis.

@entity1 @entity2910 @entity2708 @entity5142
OBJECTIVE: (1) To determine the incidence and severity of @entity5142 on endoscopic evaluation in a pediatric population of @entity1 with recurrent croup. (2) To determine the incidence of abnormal findings on bronchoalveolar lavage and esophageal biopsy in a pediatric population with recurrent croup. METHODS: Case series with historical chart review of clinical data for pediatric @entity1 (age  <=18 years) at a tertiary care @entity1 's hospital who underwent endoscopic evaluation of the upper aerodigestive tract with a diagnosis of recurrent croup over a ten-year period (2002-2012). @entity5142 was graded on Myer- @entity2708 scale. Lipid-laden macrophages on bronchoalveolar lavage were noted as none/small/moderate/large with evidence of reflux noted as moderate or large. Esophageal biopsy specimens were evaluated for evidence of @entity2910 . Data is expressed as mean  SEM. RESULTS: 1825 charts were reviewed of which 197 met inclusion criteria. Mean age at endoscopy was 53  3 months. @entity5142 was noted in 41 @entity1 (20.8%) with 95.1% being mild or Grade I. Abnormal findings on bronchoalveolar lavage were noted on 9.5% of bronchoalveolar lavage specimens. Abnormal esophageal biopsies were noted on 19.9% of specimens. @entity2910 was noted on 8.8% of biopsy specimens. CONCLUSIONS: @entity5142 is a risk factor for recurrent croup. Evidence suggestive of reflux may be noted on bronchoalveolar lavage or esophageal biopsy, but these findings may not correlate with @entity5142 in recurrent croup @entity1 .
