Endoscopic treatment of bronchopleural fistulas

Federico Varoli, Giancarlo Roviaro, Fabrizio Grignani, Contardo Vergani, Marco Maciocco, Carlo Rebuffat

Research output: Contribution to journalArticle


Background. Bronchial fistula is one of the most serious complications of pulmonary resection. Methods. We present an endoscopic treatment that consists of multiple submucosal injections of polidocanolhydroxypoliethoxidodecane (Aethoxysklerol Kreussler) on the margins of the fistula using an endoscopic needle inserted through a flexible bronchoscope. Results. From 1984 to 1995, 35 consecutive nonselected patients with a postresectional bronchopleural fistula were treated. All 23 partial postpneumonectomy or postlobectomy bronchopleural fistulas, ranging from 2 to 10 mm in diameter, healed completely. This did not occur in the 12 total bronchial dehiscences. No complications occurred due to the injection of the drug. Conclusions. In our opinion this treatment can be considered a valid therapeutic approach, as it is simple, safe, scarcely traumatic, and inexpensive, particularly considering that, in patients in stable condition, it can be performed as an outpatient treatment.

Original languageEnglish
Pages (from-to)807-809
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number3
Publication statusPublished - Mar 1998

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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    Varoli, F., Roviaro, G., Grignani, F., Vergani, C., Maciocco, M., & Rebuffat, C. (1998). Endoscopic treatment of bronchopleural fistulas. Annals of Thoracic Surgery, 65(3), 807-809. https://doi.org/10.1016/S0003-4975(97)01427-6