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Citation 5
Unique Identifier
97355399
Authors
Hsu
HS
.
Hsu
WH
.
Huang BS
.
Huang MH
.
Institution
Department of Surgery, Veterans General Hospital-Taipei, National Yang-Ming
University, Taiwan, ROC.
Title
Surgical treatment of endobronchial tuberculosis.
Source
Scandinavian Cardiovascular Journal. 31(2):79-82, 1997.
NLM Journal Code
cta
Country of Publication
Norway
MeSH Subject Headings
Adolescence
Adult
Aged
*Bronchi
/
pa [Pathology]
*Bronchography
Bronchoscopy
Constriction, Pathologic
/
ra [Radiography]
Constriction, Pathologic
/
su [Surgery]
Female
Follow-Up Studies
Human
Male
Middle Age
Pneumonectomy
/
mt [Methods]
Postoperative Complications
Respiratory Function Tests
Survival Rate
Tomography, X-Ray Computed
Treatment Outcome
Tuberculosis, Pulmonary
/
mo [Mortality]
Tuberculosis, Pulmonary
/
ra [Radiography]
*Tuberculosis, Pulmonary
/
su [Surgery]
Abstract
The incidence of tuberculosis remains fairly high in some developing countries. Endobronchial tuberculosis may cause bronchostenosis, with potentially severe respiratory symptoms, atelectasis and secondary pneumonitis. Thirty-two surgically treated cases of tuberculous bronchostenosis (33 operations) are presented. In 13 cases-segmental resection or lobectomy was performed with bronchoplastic procedures. Anastomotic stenosis necessitated pneumonectomy 5 years later in one of the 13 and one patient had wound infection. Nineteen patients underwent pulmonary resection without bronchoplasty. Apart from the patient with anastomotic stenosis, all 32 were symptom-free in the follow-up period. Forced expiratory volume was significantly improved in the ten tested patients with bronchoplasty. The results suggest that surgical treatment is safe for endobronchial tuberculosis with poor response to specific chemotherapy. In addition to checking progression of the disease, bronchoplasty helps to preserve lung function. Appropriate chemotherapy should be given for 9-12 months perioperatively to prevent recurrence and restenosis.
ISSN
1401-7431
Publication Type
Clinical Trial. Journal Article.
Language
English
Entry Month
199710.