Bronchopleural fistula uptodate
What is bronchopleural fistula?
Bronchopleural fistula (BPF) is a pathological tract between the airway and the pleural space. Common causes of BPF include pulmonary infection, persistent pneumothorax, chemotherapy, and radiotherapy. BPF is one of the most severe complications that occur after pulmonary resection.
What are the symptoms of A bronchopleural fistula (BPF)?
When a bronchopleural fistula develops, air that you breathe into your lungs can travel through it and enter the pleural space. When a BPF does cause symptoms, they're similar to what's expected following lung infections and surgery. They include: Coughing up a clear to pink, frothy fluid if it's within two weeks of surgery
When is bronchoscopic fistula closure appropriate?
Bronchoscopic fistula closure is appropriate for patients with BPF who are poor surgical candidates, those who need a bridge to surgery, or patients with BPF due to advanced malignancy. Bronchoscopic approaches have variable success rates but are typically more successful in those with small fistulas of less than 8 mm.
What is the incidence of bronchopleural fistula in lung cancer patients after surgery?
The development of bronchopleural fistula in lung cancer patients after major surgery: 31 years of experience with 19 cases. Anticancer Res. 2011;31:619–24. [PubMed] [Google Scholar]
[PDF File]Overview of Bronchopleural Fistula Management, with a Focus ...
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bronchopleural fistula (BPF) is an abnormal communi-cation between an airway and the pleural space. The com-municating airway may be the main stem, lobar bronchus, or segmental bronchus [1]. The BPF is called central if the communication is visible during bronchoscopy or peripheral if not visible during bronchoscopy [1].
[PDF File]Official reprint from UpToDate ©2012 UpToDate
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A bronchopleural fistula (BPF) exists if the bubbling continues for 24 hours or more. It is indicative of a persistent air leak into the pleural space. Most are small and consist of only a few bubbles escaping through the water seal of the drainage device in synchrony with the inspiratory phase of the ventilator.
reviews - CHEST
bronchopleural fistula (BPF) is a communication between the pleural space and the bronchial tree. Although rare, BPFs represent a challenging management problem and are associated with high morbidity and mortality.
Bronchoscopy in the Management of Bronchopleural Fistula - CHEST
FIGURE 1. Endobronchial view of a proximal bronchopleural fistula at a bronchial stump. The catheter through which tissue glue will be injected, can be seen adjacent to the fistula. major reconstructive thoracic surgery. We will discuss these various techniques for use in selective patients when conservative management of BPF has been unsuccessful.
Medical Management and Therapy of Bronchopleural Fistulas in ...
ronchopleural fistulas (BPFs), communications be- tween the bronchial tree and the pleural space, continue to present a formidable management and therapeutic challenge. A review of BPF is presented and includes discussion of the causes of BPF, clinical presentation, and management with emphasis on currently available medical techniques.
Peripheral bronchopleural fistulas: CT imaging features. - AJR
bronchopleural fistula and,conversely, a bronchopleural fistula need nothave air associated with it,aswith aparenchymal-pleural fistula. Apleural space orchestwall infection with agas-producing organism, although rare,canresult inahydropneu-mothorax, ascanaccidental administration ofairinto thepleural space orchest wall
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