Endoscopic treatment of bronchopleural fistulas

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

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

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
Volume65
Issue number3
DOIs
Publication statusPublished - Mar 1998

Fingerprint

Fistula
Bronchial Fistula
Bronchoscopes
Injections
Therapeutics
Needles
Outpatients
Lung
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

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

Endoscopic treatment of bronchopleural fistulas. / Varoli, Federico; Roviaro, Giancarlo; Grignani, Fabrizio; Vergani, Contardo; Maciocco, Marco; Rebuffat, Carlo.

In: Annals of Thoracic Surgery, Vol. 65, No. 3, 03.1998, p. 807-809.

Research output: Contribution to journalArticle

Varoli, F, Roviaro, G, Grignani, F, Vergani, C, Maciocco, M & Rebuffat, C 1998, 'Endoscopic treatment of bronchopleural fistulas', Annals of Thoracic Surgery, vol. 65, no. 3, pp. 807-809. https://doi.org/10.1016/S0003-4975(97)01427-6
Varoli, Federico ; Roviaro, Giancarlo ; Grignani, Fabrizio ; Vergani, Contardo ; Maciocco, Marco ; Rebuffat, Carlo. / Endoscopic treatment of bronchopleural fistulas. In: Annals of Thoracic Surgery. 1998 ; Vol. 65, No. 3. pp. 807-809.
@article{2629442a9b1f4add983ecf7a9914b730,
title = "Endoscopic treatment of bronchopleural fistulas",
abstract = "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.",
author = "Federico Varoli and Giancarlo Roviaro and Fabrizio Grignani and Contardo Vergani and Marco Maciocco and Carlo Rebuffat",
year = "1998",
month = "3",
doi = "10.1016/S0003-4975(97)01427-6",
language = "English",
volume = "65",
pages = "807--809",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "The Society of Thoracic Surgeons. Published by Elsevier Inc",
number = "3",

}

TY - JOUR

T1 - Endoscopic treatment of bronchopleural fistulas

AU - Varoli, Federico

AU - Roviaro, Giancarlo

AU - Grignani, Fabrizio

AU - Vergani, Contardo

AU - Maciocco, Marco

AU - Rebuffat, Carlo

PY - 1998/3

Y1 - 1998/3

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0032033699&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032033699&partnerID=8YFLogxK

U2 - 10.1016/S0003-4975(97)01427-6

DO - 10.1016/S0003-4975(97)01427-6

M3 - Article

VL - 65

SP - 807

EP - 809

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 3

ER -