Iatrogenic Bronchopleural Fistula

Marques, Pedro; Andrade, Gisela; Granadas, Joana; João, Pedro; Abreu, Natacha

doi:10.7759/cureus.12187

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Central BPFs which result from trauma or surgical procedures are usually bigger with high morbidity and mortality. Peripheral BPFs are smaller and typically caused by neoplasms, necrosis, bronchiectasis, or iatrogeny ( 4 , 5 , 7 , 15 ). BPF could also be classified by onset phase as early (1–7 days), intermediate (8–30 days), and late (>30 days) ( 6 , 8 ).…”

Section: Discussionmentioning

confidence: 99%

Long-term follow up and comparison between conservative and interventional therapy in postoperative bronchopleural fistula—a cohort study

Wang¹,

Zhu²,

Yan³

et al. 2023

J Thorac Dis

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Background Bronchopleural fistula (BPF) is a relatively rare postoperative complication with high mortality. The management is tough and controversial. The aim of this study was to compare the short and long-term outcomes between the conservative and the interventional therapy in postoperative BPF. We also concluded our own strategy and experience of treatment in postoperative BPF. Methods Postoperative BPF patients with malignancies, aged from 18 to 80 years old who had undergone thoracic surgery between June 2011 and June 2020, were included in this study and followed up from 20 months to 10 years. They were retrospectively reviewed and analyzed. Results Ninety-two BPF patients were included in this study, 39 of whom underwent interventional treatment. Significant differences were found in the 28-day and the 90-day survival rates between the conservative and the interventional therapy (P=0.001, 43.40% vs. 76.92%; P=0.006, 35.85% vs. 66.67%). Simple conservative therapy was independently associated with 90-day mortality between the groups in postoperative BPF [P=0.002, hazards ratio (HR) =2.913, 95% confidence interval (CI): 1.480–5.731]. Conclusions Postoperative BPF is notorious for its high mortality. Surgical and bronchoscopic interventions are recommendable in postoperative BPF as they guarantee better short and long-term outcomes compared with the conservative therapy.

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Section: Discussionmentioning

confidence: 99%

Long-term follow up and comparison between conservative and interventional therapy in postoperative bronchopleural fistula—a cohort study

Wang¹,

Zhu²,

Yan³

et al. 2023

J Thorac Dis

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“…Imaging plays an integral role in diagnosing and guiding further management. 3 We report a rare case of tuberculous BPF and large pneumothorax in an immunocompetent young female patient.…”

Section: Introductionmentioning

confidence: 92%

Tuberculous Bronchopleural Fistula: A Rare and Life-Threatening Disease

Bathobakae,

Shahid,

Wilkinson

et al. 2023

Journal of Investigative Medicine High Impact Case Reports

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Tuberculous bronchopleural fistula (BPF) is a rare and potentially life-threatening complication of pulmonary tuberculosis, in which abnormal connections form between the bronchial tree and the pleural space. These abnormal connections allow air and secretions to pass from the lungs into the pleural space, causing a range of symptoms from benign cough to acute tension pneumothorax. The management of tuberculous BPF requires an individualized approach based on the patient’s condition and response to treatment. Anti-tuberculosis therapy is essential for controlling the active tuberculosis infections. Intercostal drainage and suction are also commonly used to drain air and fluid from the pleural space, providing relief from the symptoms. For some patients, more invasive surgeries, such as decortication, thoracoplasty or pleuropneumonectomy are required to definitively close the fistula when medical management alone is insufficient. Herein, we describe a rare case of tuberculous BPF in a young adult female, who was treated with anti-tuberculosis medications and open thoracotomy.

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Bronchopleural Fistula after Pulmonary Resection: Risk Factors, Diagnoses and Management

Jacobsen¹

2022

Pleura - A Surgical Perspective

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Bronchopleural fistula (BPF) after a pulmonary resection is rare with some of the most life-threatening consequences and a high mortality rate. Contamination of the pleural space resulting in empyema and spillage of the infected fluid into the remaining lung leading to respiratory distress remain the biggest concerns with BPF postoperatively. There are many patient characteristics and risk factors that can be evaluated to decrease the chance of a postoperative BPF. Presentation of BPF can be early or late with the late BPF more difficult to diagnosis and manage. Many options to treat BPF include surgical repair, conservative management, and endoscopic treatment.

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Iatrogenic Bronchopleural Fistula

Cited by 3 publications

References 6 publications

Long-term follow up and comparison between conservative and interventional therapy in postoperative bronchopleural fistula—a cohort study

Long-term follow up and comparison between conservative and interventional therapy in postoperative bronchopleural fistula—a cohort study

Tuberculous Bronchopleural Fistula: A Rare and Life-Threatening Disease

Bronchopleural Fistula after Pulmonary Resection: Risk Factors, Diagnoses and Management

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