Source:http://linkedlifedata.com/resource/pubmed/id/16971412
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2006-10-31
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pubmed:abstractText |
The role of bronchoscopic management in post-tuberculosis tracheobronchial stenosis is not well defined. To investigate the role of bronchoscopic intervention, including silicone stenting, in the management of post-tuberculosis tracheobronchial stenosis, the current retrospective study was conducted at a tertiary referral hospital. Under rigid bronchoscopy, 80 patients underwent ballooning, neodymium-yttrium aluminium garnet laser resection and/or bougienation as first-line methods of airway dilatation between January 2000 and December 2003 inclusive, and were followed for a median of 41 months. Silicone stents were required in 75 out of 80 (94%) patients to maintain airway patency. Bronchoscopic intervention provided immediate symptomatic relief and improved lung function in 88% of the patients. After airway stabilisation, stents were removed successfully in 49 out of 75 (65%) patients at a median of 14 months post-insertion. Three patients out of 75 (4%) eventually underwent surgical management. Acute complications included: excessive bleeding (n = 1); pneumothorax (n = 5); and pneumomediastinum without mortality (n = 2). Stent-related late complications, such as migration (51%), granuloma formation (49%), mucostasis (19%) and re-stenosis (40%), were controllable during a median follow-up of 41 months. In conclusion, bronchoscopic intervention, including silicone stenting, could be a useful and safe method for treating post-tuberculosis tracheobronchial stenosis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0903-1936
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1029-35
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pubmed:meshHeading |
pubmed-meshheading:16971412-Adolescent,
pubmed-meshheading:16971412-Adult,
pubmed-meshheading:16971412-Aged,
pubmed-meshheading:16971412-Bronchial Diseases,
pubmed-meshheading:16971412-Constriction, Pathologic,
pubmed-meshheading:16971412-Female,
pubmed-meshheading:16971412-Humans,
pubmed-meshheading:16971412-Male,
pubmed-meshheading:16971412-Middle Aged,
pubmed-meshheading:16971412-Retrospective Studies,
pubmed-meshheading:16971412-Silicones,
pubmed-meshheading:16971412-Stents,
pubmed-meshheading:16971412-Tracheal Stenosis,
pubmed-meshheading:16971412-Tuberculosis, Pulmonary
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pubmed:year |
2006
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pubmed:articleTitle |
Use of silicone stents for the management of post-tuberculosis tracheobronchial stenosis.
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pubmed:affiliation |
Division of Pulmonary and Critical Care Medicine, Dept of Internal Medicine, Dongdaemun Hospital, Ewha Womans University, College of Medicine, Seoul, Republic of Korea.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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