Treatment of Bronchial Stricture Due to Endobronchial Tuberculosis

Watanabe, Yoh; Murakami, Shinya; Oda, Makoto; Hayashi, Yoshinobu; Ohta, Yasuhiko; Shimizu, Junzo; Kobayashi, Kazuo; Sato, Hideo; Kobayashi, Hiroaki; Nonomura, Akitaka

doi:10.1007/pl00012273

Cited by 33 publications

(37 citation statements)

References 14 publications

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“…Interventional bronchology and silicone airway stenting has opened up a new way to treat patients with benign airway stenosis [3,4]. Until recently, only a few studies have reported the result of bronchoscopic intervention in patients with PTTS [5][6][7][8]. However, the number of patients was ,40 in some of these.…”

mentioning

confidence: 99%

Use of silicone stents for the management of post-tuberculosis tracheobronchial stenosis

Ryu¹,

Kim²,

Yu³

et al. 2006

Eur Respir J

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The role of bronchoscopic management in post-tuberculosis tracheobronchial stenosis is not well defined. To investigate the role of bronchoscopic intervention, including silicone stenting, in the management of post-tuberculosis tracheobronchial stenosis, the current retrospective study was conducted at a tertiary referral hospital.Under rigid bronchoscopy, 80 patients underwent ballooning, neodymium-yttrium aluminium garnet laser resection and/or bougienation as first-line methods of airway dilatation between January 2000 and December 2003 inclusive, and were followed for a median of 41 months.Silicone stents were required in 75 out of 80 (94%) patients to maintain airway patency. Bronchoscopic intervention provided immediate symptomatic relief and improved lung function in 88% of the patients. After airway stabilisation, stents were removed successfully in 49 out of 75 (65%) patients at a median of 14 months post-insertion. Three patients out of 75 (4%) eventually underwent surgical management. Acute complications included: excessive bleeding (n51); pneumothorax (n55); and pneumomediastinum without mortality (n52). Stent-related late complications, such as migration (51%), granuloma formation (49%), mucostasis (19%) and restenosis (40%), were controllable during a median follow-up of 41 months.In conclusion, bronchoscopic intervention, including silicone stenting, could be a useful and safe method for treating post-tuberculosis tracheobronchial stenosis.

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confidence: 99%

Use of silicone stents for the management of post-tuberculosis tracheobronchial stenosis

Ryu¹,

Kim²,

Yu³

et al. 2006

Eur Respir J

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“…2,3) Consequently, surgical airway plasty is commonly recommended for the treatment of tuberculous airway stenosis. [9][10][11] Eighteen patients with tuberculous airway stenosis were evaluated in this study. Six patients with tuberculous airway stenosis were treated with airway stenting alone during the study period.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Surgical Airway Plasty for Benign Airway Stenosis

Tsukioka

Takahama

Nakajima

et al. 2016

ATCS

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Background: Long-term patency is required during treatment for benign airway stenosis. This study investigated the effectiveness of surgical airway plasty for benign airway stenosis. Methods: Clinical courses of 20 patients, who were treated with surgical plasty for their benign airway stenosis, were retrospectively investigated. Results: Causes of stenosis were tracheobronchial tuberculosis in 12 patients, post-intubation stenosis in five patients, malacia in two patients, and others in one patient. 28 interventional pulmonology procedures and 20 surgical plasty were performed. Five patients with postintubation stenosis and four patients with tuberculous stenosis were treated with tracheoplasty. Eight patients with tuberculous stenosis were treated with bronchoplasty, and two patients with malacia were treated with stabilization of the membranous portion. Anastomotic stenosis was observed in four patients, and one to four additional treatments were required. Performance status, Hugh-Jones classification, and ventilatory functions were improved after surgical plasty. Outcomes were fair in patients with tuberculous stenosis and malacia. However, efficacy of surgical plasty for post-intubation stenosis was not observed. Conclusion: Surgical airway plasty may be an acceptable treatment for tuberculous stenosis. Patients with malacia recover well after surgical plasty. There may be untreated patients with malacia who have the potential to benefit from surgical plasty.

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“…Watanabe described 19 cases of bronchial stricture or obliteration due to endobronchial tuberculous lesions. Based on their findings, these authors recommended bronchoscopy and computed tomography as methods of choice for accurate diagnosis of tuberculous bronchial involvement (Watanabe Y 1997). Moreover, these modalities may aid in the assessment for surgery.…”

Section: Role Of Diagnostic Bronchoscopy In Bronchiectasismentioning

confidence: 99%