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(A) Before starting treatment. (B) After ending the treatment (6 months)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Belén Navas Bueno, José Antonio Caminero Luna" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Belén" "apellidos" => "Navas Bueno" ] 1 => array:2 [ "nombre" => "José Antonio" "apellidos" => "Caminero Luna" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000103?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000004/v1_202404020528/S0300289624000103/v1_202404020528/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289624000152" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.01.013" "estado" => "S300" "fechaPublicacion" => "2024-04-01" "aid" => "3477" "copyright" => "The Authors" "documento" => "article" "crossmark" => 1 "subdocumento" => "pgl" "cita" => "Arch Bronconeumol. 2024;60:226-37" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "SEPAR’s Voice" "titulo" => "Multidisciplinary Management of Patients With Chronic Obstructive Pulmonary Disease and Cardiovascular Disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "226" "paginaFinal" => "237" ] ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1418 "Ancho" => 2508 "Tamanyo" => 220554 ] ] "descripcion" => array:1 [ "en" => "Algorithm for referral from cardiology to respiratory medicine of a patient with stable CVD and suspected COPD. COPD: chronic obstructive pulmonary disease; CAT: computed axial tomography; chest Rx: chest X-ray; CVD: cardiovascular disease." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Javier de Miguel-Díez, Julio Núñez Villota, Salud Santos Pérez, Nicolás Manito Lorite, Bernardino Alcázar Navarrete, Juan Francisco Delgado Jiménez, Juan José Soler-Cataluña, Domingo Pascual Figal, Patricia Sobradillo Ecenarro, Juan José Gómez Doblas" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Javier" "apellidos" => "de Miguel-Díez" ] 1 => array:2 [ "nombre" => "Julio" "apellidos" => "Núñez Villota" ] 2 => array:2 [ "nombre" => "Salud" "apellidos" => "Santos Pérez" ] 3 => array:2 [ "nombre" => "Nicolás" "apellidos" => "Manito Lorite" ] 4 => array:2 [ "nombre" => "Bernardino" "apellidos" => "Alcázar Navarrete" ] 5 => array:2 [ "nombre" => "Juan Francisco" "apellidos" => "Delgado Jiménez" ] 6 => array:2 [ "nombre" => "Juan José" "apellidos" => "Soler-Cataluña" ] 7 => array:2 [ "nombre" => "Domingo" "apellidos" => "Pascual Figal" ] 8 => array:2 [ "nombre" => "Patricia" "apellidos" => "Sobradillo Ecenarro" ] 9 => array:2 [ "nombre" => "Juan José" "apellidos" => "Gómez Doblas" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000152?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000004/v1_202404020528/S0300289624000152/v1_202404020528/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Case Report" "titulo" => "Foreign Body in the Posterior Mediastinum: Successful Minimally Invasive Removal of a Transesophageally Migrated Piece of Dishwashing Scourer" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "238" "paginaFinal" => "241" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Güntuğ Batıhan, Soner Kına" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Güntuğ" "apellidos" => "Batıhan" "email" => array:1 [ 0 => "gbatihan@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Soner" "apellidos" => "Kına" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Kafkas University Medical Faculty, Department of Thoracic Surgery, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Kafkas University Medical Faculty, Department of Anesthesiology, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2713 "Ancho" => 2167 "Tamanyo" => 442198 ] ] "descripcion" => array:1 [ "en" => "A metallic density foreign body is observed in the posterior mediastinum, adjacent to the esophagus. The circled area indicates the foreign body." ] ] ] "textoCompleto" => "IntroductionIngestion of foreign bodies is a common occurrence across all age groups, typically arising from accidental events or inquisitive behavior. While many instances result in uneventful passage through the gastrointestinal tract, certain cases may present therapeutic challenges, especially when the foreign body becomes lodged or migrates to unexpected locations.<a class="elsevierStyleCrossRefs" href="#bib0040">1,2</a>The migration of an ingested foreign body into the posterior mediastinum is a rare and challenging scenario, requiring careful consideration and specialized intervention. In this case presentation, we aim to discuss the clinical nuances, diagnostic challenges, and the role of minimally invasive surgical techniques as well as the importance of a careful anamnesis in addressing such unique and intricate cases.Case ReportA 45-year-old male applied to our department complaint with blood in sputum for 1 week. Physical examination was normal. There was no feature in his medical history other than 20 pack-years of smoking. Chest X-ray and computed tomography (CT) scans revealed the opacity in the posterior mediastinum, suggestive of a metallic foreign body (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>When the anamnesis was detailed due to these radiological findings, it was seen that he had a history of getting a piece of dishwashing scourer in his mouth while eating soup approximately 2 weeks ago. The patient's psychiatric history absence and the presence of eyewitnesses led to the realistic evaluation of this medical history. In the light of these data, surgery was planned with the preliminary diagnosis of a foreign body transesophageally migrated into the posterior mediastinum. Preoperative fiberoptic bronchoscopy was performed, revealing remnants of clots; however, no active hemorrhage was observed.Surgical intervention was planned due to the likelihood of continued migration of the foreign body, the history of hemoptysis in the patient, and the potential for the foreign body to cause infection.Right sided video-assisted thoracic surgery was performed. Pleural adhesions were removed with blunt and sharp dissections. The area between the azygos vein and the vertebral body was dissected. The sympathetic chain was identified and preserved. The foreign body, consisting of a thinly curved metal material, was completely removed (<a class="elsevierStyleCrossRefs" href="#fig0010">Figs. 2 and 3</a>). The adjacent esophageal segment was dissected, and air was administered through a nasogastric tube and an underwater leak test was performed. No air leakage was observed in the esophagus. Intraoperative X-ray radiography was performed due to the possibility of a residual foreign body. No residual foreign body was observed. The operation was completed without any complication.<elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia>The postoperative period was uneventful. The thorax tube was terminated on the 3rd postoperative day and the patient was externalized.DiscussionThe presented case of transesophageal migration of an ingested foreign body into the posterior mediastinum sheds light on the intricate nature of such incidents and emphasizes the need for a comprehensive understanding of atypical migration patterns.Ingested foreign objects, especially if these objects have pointed ends, can migrate to neighboring areas along the digestive tract. The cases of needles migrating to deep cervical tissues, omentum, and liver after ingestion are documented in the literature. The common characteristic of these cases is that patient history, potential complications, and treatment approaches are generally well-defined.<a class="elsevierStyleCrossRefs" href="#bib0050">3–5</a> A history of psychiatric illness or suicidal attempts is frequent and surgery, often preferred as laparotomy or laparoscopy, is commonly chosen due to intra-abdominal migration. However, the posterior mediastinum, being an uncommon location for lodged foreign bodies, demands heightened vigilance in diagnosis and treatment planning.<a class="elsevierStyleCrossRefs" href="#bib0065">6,7</a> Standard imaging modalities may not always capture the exact location or provide sufficient information for planning a surgical approach.In our case, there was also a history of hemoptysis as a confusing symptom. We attributed this to the inflammation induced by the foreign body in the surrounding lung parenchyma. The supporting evidence for this includes increased opacity in the relevant region of the lung parenchyma on CT and, intraoperatively, significant parenchymal adhesions formed in the posterior mediastinal region where the foreign body had lodged.In our case, the successful application of video-assisted thoracic surgery (VATS) exemplifies the adaptability of minimally invasive techniques in addressing such complexities. VATS not only allows for precise visualization but also minimizes the invasiveness of the procedure, contributing to a quicker recovery for the patient.Collaborative efforts are crucial for accurate diagnosis, risk assessment, and the formulation of an effective treatment strategy. Additionally, ongoing advancements in imaging technologies and surgical methodologies play a pivotal role in enhancing our capabilities to manage such intricate cases.Informed ConsentA written informed consent was obtained from patient.Authors’ ContributionsIdea/concept, design, writing the article and literature review: G.B.; data collection, control/supervision, critical review: S.K.FundingThe authors received no financial support for the research and/or authorship of this article.Conflict of InterestThe authors declared no conflicts of interest." "textoCompletoSecciones" => array:1 [ "secciones" => array:8 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Case Report" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Discussion" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Informed Consent" ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Authors’ Contributions" ] 5 => array:2 [ "identificador" => "sec0030" "titulo" => "Funding" ] 6 => array:2 [ "identificador" => "sec0035" "titulo" => "Conflict of Interest" ] 7 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2713 "Ancho" => 2167 "Tamanyo" => 442198 ] ] "descripcion" => array:1 [ "en" => "A metallic density foreign body is observed in the posterior mediastinum, adjacent to the esophagus. The circled area indicates the foreign body." ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2340 "Ancho" => 2340 "Tamanyo" => 673063 ] ] "descripcion" => array:1 [ "en" => "This figure shows intraoperative images in stages. The area indicated by the white arrow in (a) is the area where the lung parenchyma is adhered, and the foreign body is removed from underneath. (b and c) The folded wire piece of a metal dish sponge. (d) The vertebral body after the complete removal of the foreign body is shown with a black arrow." ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1516 "Ancho" => 1140 "Tamanyo" => 301325 ] ] "descripcion" => array:1 [ "en" => "The removed foreign body." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0040" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Özofagus yabancı cisimleri: 188 olgunun analizi" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Turkyilmaz" 1 => "Y. Aydin" 2 => "Ö. Yılmaz" 3 => "Ş. Aslan" 4 => "N. Karaoglanoglu" 5 => "A. Eroğlu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ulusal Travma ve Acil Cerrahi Dergisi" "fecha" => "2009" "volumen" => "15" "paginaInicial" => "222" "paginaFinal" => "227" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19562542" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0045" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Swallowed foreign bodies in adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Ambe" 1 => "S.A. Weber" 2 => "M. Schauer" 3 => "W.T. Knoefel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3238/arztebl.2012.0869" "Revista" => array:6 [ "tituloSerie" => "Dtsch Arztebl Int" "fecha" => "2012" "volumen" => "109" "paginaInicial" => "869" "paginaFinal" => "875" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23293675" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0050" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Migrating ingested foreign body of the upper aerodigestive tract with resultant septic shock: case report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K. Pai" 1 => "S. Pillai" 2 => "A. Bhandarkar" 3 => "A. Anand" 4 => "H. Sabhahit" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.12816/0003326" "Revista" => array:5 [ "tituloSerie" => "Sultan Qaboos Univ Med J" "fecha" => "2013" "volumen" => "13" "paginaInicial" => "606" "paginaFinal" => "610" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0055" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Migration of two swallowed foreign bodies to different locations in the same case" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Gül" 1 => "İ. Aliosmanoğlu" 2 => "M. Hakseven" 3 => "M.G. Çetinçakmak" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ulus Cerrahi Derg" "fecha" => "2013" "volumen" => "30" "paginaInicial" => "228" "paginaFinal" => "230" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0060" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ingested intraabdominal foreign bodies that require surgical intervention" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Kızıltan" 1 => "Ö. Yılmaz" 2 => "A. Aras" 3 => "O. Toktaş" 4 => "A. Batur" 5 => "F. Ağar" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5505/tjtes.2015.87400" "Revista" => array:6 [ "tituloSerie" => "Ulus Travma Acil Cerrahi Derg" "fecha" => "2016" "volumen" => "22" "paginaInicial" => "269" "paginaFinal" => "272" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27598592" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0065" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An unusual self-inserted foreign body in the mediastinum and its management: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Apilioğulları" 1 => "B. Yoldaş" 2 => "H. Esme" 3 => "T.T. Bekçi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Turk Gogus Kalp Dama" "fecha" => "2013" "volumen" => "21" "paginaInicial" => "810" "paginaFinal" => "812" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0070" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mediastinitis associated with foreign body erosion of the esophagus in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.E. Kerschner" 1 => "D.J. Beste" 2 => "S.F. Conley" 3 => "M.A. Kenna" 4 => "D. Lee" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/s0165-5876(01)00454-2" "Revista" => array:6 [ "tituloSerie" => "Int J Pediatr Otorhinolaryngol" "fecha" => "2001" "volumen" => "59" "paginaInicial" => "89" "paginaFinal" => "97" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11378183" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000004/v1_202404020528/S0300289624000073/v1_202404020528/en/main.assets" "Apartado" => array:4 [ "identificador" => "93562" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000004/v1_202404020528/S0300289624000073/v1_202404020528/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624000073?idApp=UINPBA00003Z"]

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

It is a monthly journal in which all manuscripts are sent to peer-review and handled by the editor or an associate editor from the team and the final decision is made on the basis of the comments from the expert reviewers and the editors. The journal is published solely in English. All the published data is composed of novel manuscripts not previously published in any other journal and not being in consideration for publication in any other journal..

The journal is indexed at Science Citation Index Expanded, Medline/Pubmed, Embase and SCOPUS. Access to any published article is possible through the journal's web page as well as from Pubmed, ScienceDirect, and other international databases. Furthermore, the journal is also present in X, Facebook and Linkedin. Manuscripts can be submitted electronically using the following web site: https://www.editorialmanager.com/ARBR/.

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Current Contents/Clinical Medicine, JCR SCI-Expanded, Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, SCOPUS, IBECS

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Impact factor 2023

8.7

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3.5

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SJR 2023

0.464

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SNIP 2023

0.482

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