Surgical Treatment of Bronchiectasis

Bryce, A. Graham

doi:10.1136/bmj.1.3868.350

Cited by 2 publications

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“…B. des Jefferson Medical College (Philadelphia, USA) zeigten -, stellte dies ein medizinisches Anliegen höchster Dringlichkeit dar[9,43]. Nach einigen Umwegen über externe Drainageoperationen und mehrzeitige Ablationsverfahren kristallisierte sich in den 1930er-Jahren die anatomische Lungenresektion und hierbei insbesondere die Lobektomie als das Verfahren der Wahl heraus[11,43]. So konnte bereits im Jahr 1935 A. G. Bryce (Manchester Royal Infirma-…”

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Therapie von Bronchiektasen

Rademacher

Schweigert

2015

Zentralbl Chir

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The prevalence of bronchiectasis not due to cystic fibrosis (NCFB) increases with older age. Because of multifaceted etiology of bronchiectasis an extensive diagnostic approach is essential. This includes in-depth anamnesis and a high resolution CT scan of the chest (HRCT). The pathophysiological mechanism with infection, inflammation, secretion retention and destruction determine the therapeutic options. In patients with high rates of exacerbations and severe diseases physicians should think of inhaled antibiotics and macrolids. In case of localized bronchiectasis and failure of conventional therapy surgery of bronchiectasis is an effective treatment option. In some cases surgery is necessary due to haemoptysis, aspergilloma, lung abscess and pleuraempyema. To improve the treatment options of bronchiectasis results of epidemiological, basically and clinical research trials are expected and needed.

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