Prise en charge endoscopique d’une fistule bronchopleurale chez un patient en syndrome de détresse respiratoire aiguë après pneumonectomie

Bylicki, Olivier; Peloni, J.-M.; Loheas, D.; Turc, Jean; Petitjean, François; Puidupin, M.; Mulsant, P.; Dot, J.-M.

doi:10.1016/j.pneumo.2012.03.002

Cited by 1 publication

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…BFS is designed to offer advantageous features such as easy operation method, clear vision, mild trauma, tolerance of surgery by patients, and high safety profile, which reduces or avoids complications associated with tracheotomy and prevents local infection [ 25 , 32 ]. Clinically, BFS has multiple uses, including removing foreign bodies, eliminating secretions, treating nasopharyngeal carcinoma, central lung cancer, alveolar cell carcinoma, esophageal fistula, hemoptysis, obstruction, assisting endotracheal intubation treatment and placing gastric tube [ 1 , 11 , 21 ]. Previous studies have revealed that BFS is also an excellent diagnostic tool for early detection of various intrabronchial injuries, and the attached biopsy sampling feature is helpful in the identification of early lesions, and to carry out poly excision surgery for the studies on bronchus and lung diseases [ 15 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Bronchopleural Fistula with Carbolic Acid instilled through Bronchofiberscope in post-pulmonectomy patients

Wang

Luo

2015

J Cardiothorac Surg

View full text Add to dashboard Cite

ObjectiveTo investigate the efficacy of carbolic acid treatment of bronchopleural fistula (BPF) using bronchofiberscope (BFS) in post-pulmonectomy patients.MethodTwelve patients with post-pulmonectomy BPF were enrolled in this study at the Liaoning Tumor Hospital between February 2009 and March 2012. Three patients had BPF after the right pneumonectomy, six patients after left pneumonectomy, one patient after the right middle and low lobectomy and two patients after left upper lobectomy. BPF patients were instilled with 100 % carbolic acid (0.5–1 ml one time every week) through BFS on the mucosal surface around the fistula, and the bubble disappearance was monitored. Treatment was repeated if the bubble remained.ResultsNo haemorrhage, severe dyspnea or SpO2 declines occurred in all the 12 patients during the bronchoscopic therapy. BPF orifices were closed in five patients after receiving 5 treatments with carbolic acid, 1 patient received 2 treatments, 1 patient was given 3 treatments, 2 patients received 4 treatments and 3 patients were given 7 treatments. Follow-up was conducted for six months following bronchoscopy. The average treatment and fistula closure time were calculated from the data collected as 20 min and 30 days, respectively, and the cure rate was 100 %. Hematoxylin-eosin (HE) staining results revealed that the white flat hyperplasia tissue after carbolic acid treatment was inflammatory granulation tissue.ConclusionOur results revealed that instillation of 100 % carbolic acid with BFS to treat BPF was 100 % effective, which can be a support for post-pulmonectomy BPF.

show abstract