Endoscopic and Surgical Treatment of Pulmonary Tuberculosis in Children

Rothman, Phillip E.

doi:10.1001/archpedi.1960.02070030317007

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…When atelectasis or obstructive emphysema has followed childhood tuberculosis there are some patients in whom the airway compromise is mainly due to intraluminal obstruction. It may be the result of nodal erosion and discharge of tuberculous infection into the airway (endobronchial tuberculosis) or due to granulomatous tissue forming within the airway [5,16]. As previously stated, collapsed lung is at high risk of being permanently damaged by infection, and there is often no way of telling whether an atelectatic lung is salvageable if there are no obvious symptoms and signs of bronchiectasis.…”

Section: Group 1b: Major Airway Obstruction By Intraluminal Tissuementioning

confidence: 99%

Role of Thoracic Surgery for Childhood Tuberculosis

1997

World j. surg.

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Lymphadenopathy is the hallmark of intrathoracic tuberculosis in children. The role of the thoracic surgeon in treating childhood tuberculosis is to relieve the more severe symptoms of lymphadenopathy, prevent the more long-term secondary damage that lymphadenopathy may cause to the lung, and treat the sequelae of thoracic tuberculosis. We reviewed the role of surgery in childhood tuberculosis at Red Cross Children Hospital from January 1981 to January 1996 in 161 children under 13 who were admitted for 168 therapeutic surgical interventions for proved intrathoracic tuberculosis and its related complications. We classified patients according to the pathophysiology of their disease to clarify the role of surgery in their management. Successful decompression of lymph nodes that were acutely compromising major airways was done in 25 children, and decompression for chronic airway compression was successful in 8 of 11 children. Therapeutic bronchoscopy successfully opened an airway obstructed by intraluminal tissue in 68% of 28 patients, with long-term pulmonary reexpansion in 50%. Pulmonary resections for postprimary tuberculous damage were done in 72 patients with a mortality of 2.7% and morbidity of 16.7%. Another 17 patients were operated on for pleural disease and 15 for other tuberculosis-related problems. The mortality for all patients undergoing surgery for complications of tuberculosis during childhood was 1.9% (3/161), suggesting that when indicated, an aggressive surgical approach is relatively safe.

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Section: Group 1b: Major Airway Obstruction By Intraluminal Tissuementioning

confidence: 99%

Role of Thoracic Surgery for Childhood Tuberculosis

1997

World j. surg.

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“…Jones meticulously documented his patients' histories and the details of their care, which he later published as a case series. 3 At the time, medical therapy for tuberculosis was under development and, although promising in adults, had not been shown to be effective in children. The sanatorium was still seen by many groups as critical to successful treatment.…”

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confidence: 99%

Historical perspectives of The American Association for Thoracic Surgery: John C. Jones (1903-1976)

Cranstoun

Gaynor

2013

The Journal of Thoracic and Cardiovascular Surgery

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Endoscopic and Surgical Treatment of Pulmonary Tuberculosis in Children

Cited by 2 publications

References 24 publications

Role of Thoracic Surgery for Childhood Tuberculosis

Role of Thoracic Surgery for Childhood Tuberculosis

Historical perspectives of The American Association for Thoracic Surgery: John C. Jones (1903-1976)

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