PMID: 9527218Apr 4, 1998Paper

Endoscopic treatment of bronchopleural fistulas

The Annals of Thoracic Surgery
F VaroliC Rebuffat

Abstract

Bronchial fistula is one of the most serious complications of pulmonary resection. We present an endoscopic treatment that consists of multiple submucosal injections of polidocanol-hydroxypoliethoxidodecane (Aethoxysklerol Kreussler) on the margins of the fistula using an endoscopic needle inserted through a flexible bronchoscope. From 1984 to 1995, 35 consecutive nonselected patients with a postresectional bronchopleural fistula were treated. All 23 partial postpneumonectomy or postlobectomy bronchopleural fistulas, ranging from 2 to 10 mm in diameter, healed completely. This did not occur in the 12 total bronchial dehiscences. No complications occurred due to the injection of the drug. In our opinion this treatment can be considered a valid therapeutic approach, as it is simple, safe, scarcely traumatic, and inexpensive, particularly considering that, in patients in stable condition, it can be performed as an outpatient treatment.

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Citations

Jan 23, 2003·The Annals of Thoracic Surgery·Kohsuke TayamaMasahiro Mitsuoka
Apr 27, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Eric M WalserSina Meisamy
Jan 7, 2010·Respirology : Official Journal of the Asian Pacific Society of Respirology·Lonny YarmusDavid Feller-Kopman
Dec 10, 1999·The Annals of Thoracic Surgery·M de Perrot, A Spiliopoulos
Feb 22, 2002·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Ryuzo KannoMitsukazu Gotoh
May 17, 2014·Surgical Infections·Sławomir JabłońskiMarcin Kozakiewicz
Apr 20, 2001·Seminars in Thoracic and Cardiovascular Surgery·R J Ginsberg, D V Saborio
Apr 9, 2008·Seminars in Thoracic and Cardiovascular Surgery·Moishe Liberman, Stephen D Cassivi
Sep 29, 2006·Thoracic Surgery Clinics·Farid GharagozlooFarzad Najam
Sep 29, 2006·Thoracic Surgery Clinics·Emily A Farkas, Frank C Detterbeck
Oct 31, 2015·Thoracic Surgery Clinics·Giorgio Zanotti, John D Mitchell
Sep 5, 2006·Archivos de bronconeumología·Gemma MoraMaría J Ferreiro
Jun 14, 2006·Journal of Critical Care·Sergio Martínez-EscobarAntonio Rodríguez-Cuartero
Apr 6, 2013·International Wound Journal·Sławomir JabłońskiJacek Śmigielski
May 31, 2015·The Annals of Thoracic Surgery·Giuseppe CardilloMichael Dusmet
Jul 3, 2013·The Journal of Thoracic and Cardiovascular Surgery·Mohamed Sadok BoudayaTarek Kilani
Nov 13, 1999·Chest·S Deb, P Fonseca
Jun 28, 2016·Stem Cells Translational Medicine·Johnathon M AhoDennis A Wigle
Apr 5, 2012·Chest·Lonny Yarmus, David Feller-Kopman
Feb 27, 2014·Asian Cardiovascular & Thoracic Annals·Tomas GudbjartssonLars Ek
Mar 22, 2015·Asian Cardiovascular & Thoracic Annals·Alfonso FiorelliMario Santini
Feb 25, 2006·Respiration; International Review of Thoracic Diseases·Christopher W SeymourDaniel H Sterman
Apr 8, 2020·Interactive Cardiovascular and Thoracic Surgery·Yan-Qing Wang, Wei Zhuang
Oct 17, 2014·Journal of Bronchology & Interventional Pulmonology·Alfin G VicencioTimothy J Harkin
May 10, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Monica CasiraghiLorenzo Spaggiari
Dec 12, 2018·Asian Cardiovascular & Thoracic Annals·Eduardo RivoAntonio Golpe
Jan 16, 2019·Surgical Case Reports·Hideki EndohYukitoshi Satoh
Jun 20, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Andrew DeMaio, Daniel Sterman
Sep 13, 2020·Journal of Cardiothoracic Surgery·Fatmir CaushiArian Mezini
Apr 14, 2020·Journal of Bronchology & Interventional Pulmonology·Sandra R AlcarazConcepción Martín
Apr 30, 2020·Respiratory Medicine Case Reports·Troy J FishmanYvette Bazikian
Dec 10, 2002·Chest Surgery Clinics of North America·Eric Vallières

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