Conservative management of postoperative bronchopleural fistulas

Boudaya, Mohamed Sadok; Smadhi, H.; Zribi, Hazem; Mohamed, Jalel; Ammar, Jamel; Mestiri, Taher; Kilani, T.

doi:10.1016/j.jtcvs.2013.04.023

Cited by 66 publications

(69 citation statements)

References 12 publications

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“…technique and perioperative patient management, bronchopleural fistula (BPF) still represents a therapeutic challenge for the thoracic surgeon. The estimated prevalence is 1% to 4% [1][2][3]. Asamura and colleagues [1] reported an incidence of 1.2% after lobectomy and 4.5% after pneumonectomy.…”

mentioning

confidence: 99%

The Rationale for Treatment of Postresectional Bronchopleural Fistula: Analysis of 52 Patients

Cardillo

Carbone

Carleo

et al. 2015

The Annals of Thoracic Surgery

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mentioning

confidence: 99%

The Rationale for Treatment of Postresectional Bronchopleural Fistula: Analysis of 52 Patients

Cardillo

Carbone

Carleo

et al. 2015

The Annals of Thoracic Surgery

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“…Silver nitrate has been also employed as a tool for closing central BPF. In 2013 Boudaya et al [6] published their series consisting of 17 patients treated with local application of silver nitrate. This application has had to be repeated until the fistula was closed.…”

Section: Bronchoscopic Treatment Of Bronchopleural Fistulamentioning

confidence: 99%

“…Furthermore, some other conditions, like ARDS, or even Boerhaave Syndrome could also be responsible for it BPF development. Surgical BPF can be generally classified according to the time of occurrence as "early" if it occurs in up to 7 days after surgery, "intermediate" if it appears in the time between 8 and 30 days following surgery and, finally, "late" after that period [6].…”

Section: Introductionmentioning

confidence: 99%

Bronchoscopic management of bronchopleural fistula

Stamenovic¹

2016

Curr Thorac Surg

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Bronchopleural fistula (BPF) represents a pathological communication between any part of bronchial tree and the pleural space. Mostly it is a rare yet serious complication of different pulmonary conditions like certain infections, trauma, malignancy and/or surgery, going along with significant mortality reported to be as high as 58%. Diagnosis of BPF is mostly done by evaluating these three data: clinical appearance, bronchoscopy and CT scan. The treatment of BPF may initially differ according to the time of appearance as well as clinical presentation. As most BPF goes along with empyema, it is, obviously, necessary to deal with it. This is most commonly achieved with a chest tube. Conservative management of BPF can be achieved using a significant variety of materials and methods with reportedly moderate to excellent results in the treatment of etiologically and sizably different BPF. Methyl-2-cyanoacrylate, fibrin sealant together with spongy calf bone, polidocanol -hydroxypolyethoxidodecane, amplatzer device, silver nitrate, stenting and endobronchial valves have all been employed in bronchoscopic treatment of a BPF. There is no evidence based guideline for its management, either surgically or endoscopically. The treatment of choice is always in the hands of the physician, preferably armed with the current knowledge and capacity of utilizing it.

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“…Bu komplikasyonun geliştiği hastalarda konservatif, endoskopik ve cerrahi tedavi seçe-nekleri mevcut olmasına rağmen tartışmalar devam etmektedir. Konservatif tedavide oral beslenmenin kesilip, enteral veya parenteral beslenme desteği sağlanır (10). Alternatif bir yaklaşım olarak bronkoskopi, endoskopik tüp drenaj veya stent uygulama seçenekleri mevcuttur (11)(12)(13).…”

Section: Introductionunclassified

Özofagus Kanseri Nedeni ile Uygulanan Ivor-Lewis Operasyonu Sonucu Gelişen Katastrofik Komplikasyonlar: Olgu Sunumu

Emre¹,

Kayilioglu²,

Dinç³

et al. 2018

Akd Med J

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ÖZÖzofagus kanserinin tedavisi amacıyla yapılan özofajektomiler sonrası birçok medikal veya cerrahi komplikasyon gelişebilmektedir. Bunların bir kısmı minör olarak nitelendirilen tedavisi kolay olan komplikasyonlar iken, majör komplikasyonlar olarak sınıfl andırdığımız diğer kısmın tedavisi oldukça zor olup morbidite ve mortaliteye sebep olurlar. Özofajektomi sonrası eşzamanlı olarak bronkomediastinal ve özofagomediastinal fi stül gelişmesi oldukça nadirdir. Özofagus kanseri tedavisi için neoadjuan kemoradyoterapi verildikten sonra laparoskopik ve torakoskopik Ivor-Lewis özofajektomi yapılan ve postoperatif erken dönemde bu iki ciddi komplikasyonun da geliştiği bir erkek hastayı sunuyoruz. Anahtar Sözcükler: Özofagus kanseri, Bronkomediestinal fi stül, Özofagomediastinal fi stül ABSTRACTMedical and surgical complications can occur after esophagectomy due to esophageal cancer. Minor complications can be treated easily but major complications can only be treated with diffi culty and can lead to mortality and morbidity. Bronchomediastinal and esophagomediastinal fi stula in the same patient is a rare condition. We present a male patient who had bronchomediastinal and esophageal mediastinal fi stula as an early complication of radiotherapy and an Ivor-Lewis esophagectomy procedure for the treatment of esophageal cancer.

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Conservative management of postoperative bronchopleural fistulas

Abstract: BPF is a severe complication in thoracic surgery. The combination of pleural drainage, adequate antibiotic treatment, and mucosal application of silver nitrate, through a flexible bronchoscope, is an efficient alternative and avoids extensive surgical intervention.

Cited by 66 publications

References 12 publications

The Rationale for Treatment of Postresectional Bronchopleural Fistula: Analysis of 52 Patients

The Rationale for Treatment of Postresectional Bronchopleural Fistula: Analysis of 52 Patients

Bronchoscopic management of bronchopleural fistula

Özofagus Kanseri Nedeni ile Uygulanan Ivor-Lewis Operasyonu Sonucu Gelişen Katastrofik Komplikasyonlar: Olgu Sunumu

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