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Rigid bronchoscopy

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https://www.readbyqxmd.com/read/29226187/tracheobronchial-foreign-bodies-in-children-the-role-of-emergency-rigid-bronchoscopy
#1
Aram Baram, Hewa Sherzad, Sara Saeed, Fahmi H Kakamad, Adnan M H Hamawandi
Foreign body aspiration (FBA) is a common and lethal accident in the pediatric age group. It requires early recognition and treatment by rigid bronchoscopy to avoid fatal outcomes. Objective. The aim of this study was to study the pattern of FBA in the tracheobronchial tree as well as the success rate of rigid bronchoscopy in children admitted to a single center and to analyze the relationship of the type of foreign body (FB) with patients' age, presentation, and complications. Methods. A retrospective cross-sectional study of FBA was conducted in children in the Sulaimani/Kurdistan region, Iraq, admitted to the emergency teaching hospital of the University of Sulaimani from January 2014 to March 2016...
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/29221341/atypical-carcinoid-localized-at-the-bronchus-accompanied-by-diffuse-idiopathic-pulmonary-neuroendocrine-cell-hyperplasia-in-the-distal-lung-a-rare-case-report
#2
Kyoshiro Takegahara, Akira Sato, Takayuki Ibi, Tatsuya Inoue, Jitsuo Usuda
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH) is hyperplasia of noninvasive neuroendocrine cells originating from Kultchitsky cells. This is a rare pathological condition, suspected to be a precursor lesion of carcinoid, together with tumorlet. In the WHO histological classification (4th edition) revised in 2015, DIPNECH was added to the category that includes neuroendocrine tumors. Our patient was a 77-year-old woman who initially visited another doctor because of coughing. Chest CT revealed a mass occluding the right intermediate bronchial trunk, and bronchial carcinoid was suspected from biopsy findings, leading to referral of this patient to our department...
September 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29106868/the-use-of-ct-scan-in-foreign-body-aspiration-in-children-a-6-years-experience
#3
Vincent Pitiot, Margaux Grall, Dominique Ploin, Eric Truy, Sonia Ayari Khalfallah
INTRODUCTION: A foreign body aspiration is a risky situation, common in pediatric emergency. The "gold standard" to rule out a foreign body or proceed to its extraction, is rigid bronchoscopy (RB) under general anesthesia. However, RB is an intrusive exam with possible complications. Depending on authors, RB in emergency is a procedure at risk of complications in 4-17% of cases. Advances in radiology allow CT-scanners of fast acquisition and high definition, which could be used as an alternative to RB...
November 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29105361/a-multicenter-study-on-the-safety-and-efficacy-of-different-methods-for-obtaining-transbronchial-lung-cryobiopsy-in-diffuse-lung-diseases
#4
Sahajal Dhooria, Ravindra Mehta, Arjun Srinivasan, Karan Madan, Inderpaul Singh Sehgal, Vallandramam Pattabhiraman, Pavan Yadav, Mahadevan Sivaramakrishnan, Anant Mohan, Amanjit Bal, Mandeep Garg, Ritesh Agarwal
INTRODUCTION: Most data on transbronchial lung cryobiopsy (TBLC) are from single centers, with little evidence on the outcome of different methods for performing TBLC. OBJECTIVE: To report the diagnostic yield and safety of TBLC with different procedural techniques. METHODS: Retrospective multicenter study of subjects who underwent TBLC for the diagnosis of diffuse parenchymal lung diseases (DPLDs). The procedure was performed using various methods: flexible or rigid bronchoscopy, with or without the use of fluoroscopy or occlusion balloon...
November 4, 2017: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29103009/metastatic-melanoma-a-rare-cause-of-central-airway-obstruction
#5
Mohamed Faisal Abdul Hamid, Andrea Ban Yu-Lin, Tidi Maharani Hassan, Nurashikin Mohammad
A middle-aged woman with recurrent malignant melanoma presented initially with massive left pleural effusion. There was a complete obliteration of the left main bronchus on flexible bronchoscopy caused by a mass. Serial cryo-debulking of the tumour was done under rigid bronchoscopy; however, the outcome was not favourable due to the aggressive tumour growth. Vemurafenib was planned after thoracic radiation. She was not keen for the biologics treatment due to financial constraints. We report a case of central airway obstruction due to recurrent aggressive melanoma...
November 4, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29096341/successful-resection-of-locally-infiltrative-glomus-tumor-without-pulmonary-resection
#6
Tomohiro Obata, Takuro Miyazaki, Naoya Yamasaki, Tomoshi Tsuchiya, Keitaro Matsumoto, Go Hatachi, Yuka Kitamura, Kazuhiro Tabata, Takeshi Nagayasu
INTRODUCTION: Extracutaneous glomus tumors occurring in the bronchus is very rare. Complete resection is basic procedure for treatment of glomus tumor. We present a glomus tumor of the left main bronchus that was successfully treated with rigid bronchoscopy followed by sleeve resection of the left main bronchus. PRESENTATION OF CASE: A 56-year-old man underwent two term resections to glomus tumor that originated from the left main bronchus. Firstly, we performed palliative resection with rigid bronchoscopy to make the correct diagnosis and evaluate the extent of the tumor...
September 23, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29081662/novel-strategy-of-stents-in-thyroid-mass-a-case-series-report-of-managing-severely-dyspneic-patients
#7
Adheesh Bhandari, Ying-Hao Wang, Shi-Xu Lv, Er-Jie Xia, Ou-Chen Wang
BACKGROUND: Tracheal and bronchial stenosis is a life-threatening condition causing difficulty in breathing and even severe respiratory distress. The silicone tracheobronchial stents were placed using the rigid bronchoscopy into the trachea of severe dyspneic patients and they exhibited symptomatic improvement as well as a rise in the saturation of oxygen. The bronchial stents were applicable to many extensive malignant airway stenosis patients, such as those with esophageal cancer, lung cancer, and laryngeal cancer...
2017: OncoTargets and Therapy
https://www.readbyqxmd.com/read/29077665/biphasic-cuirass-ventilation-during-anesthesia-for-tracheobronchial-stent-insertion-or-removal-by-a-rigid-bronchoscope-a-case-report
#8
Hideaki Mori, Atsuko Shono, Ritsuko Hirade, Tetsuro Nikai, Yoji Saito
Airway management and ventilation during a tracheobronchial stenting procedure are challenging given that mandatory positive pressure ventilation cannot be fully achieved while using a rigid bronchoscope due to leakage from the scope tip. Biphasic cuirass ventilation is a negative pressure ventilation method using an external cuirass fitted to the anterior chest, which could assist in spontaneous breathing and ventilation support. We report 3 successful anesthesia cases in which we could maintain adequate ventilation and oxygenation, supported by biphasic cuirass ventilation, in patients undergoing tracheobronchial stent placement or removal procedures using rigid bronchoscopy...
October 26, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/29052061/comparison-of-two-new-techniques-for-the-management-of-malignant-central-airway-obstruction-argon-plasma-coagulation-with-mechanical-tumor-resection-versus-cryorecanalization
#9
Derya Kızılgöz, Zafer Aktaş, Aydın Yılmaz, Ayperi Öztürk, Fatih Seğmen
BACKGROUND: The development of central airway obstruction during malignant diseases is an important cause of morbidity and mortality. Endobronchial therapies can decrease the patient's symptoms and improve quality of life. Here, we compare airway recanalization methods: argon plasma coagulation with mechanical tumor resection (APC + MTR) and cryorecanalization (CR efficiency, complications, restenosis rate, and time to restenosis) in patients with malignant exophytic endobronchial airway obstruction...
October 19, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29047403/successful-treatment-of-a-recurrent-granulation-polyp-in-the-airways-with-high-dose-rate-brachytherapy-a-case-report
#10
M Polke, J Oelmann-Avendano, A Warth, C P Heussel, F J F Herth, R Eberhardt
BACKGROUND: Benign central airway tumors are very rare diseases. Their unspecific symptoms are responsible for late diagnosis. Endoscopic interventions with different techniques and tools are widely used for their treatment. However, in certain cases interventional endoscopy might be unsuccessful and therefore other methods such as high-dose-rate brachytherapy could be a therapeutic option. CASE PRESENTATION: A 76-year-old white German woman was referred to our clinic for an endoscopic treatment of a recurrent granulation polyp in her left main bronchus...
October 18, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29021928/bravo%C3%A2-capsule-aspiration-a-rare-case-report
#11
Abdul Haseeb, Noman Lateef, Muhammad Bilal, Kumar Gaurav, Jason Prudom, Ali Musani
Bravo® capsule (BC) (Medtronic, Minneapolis, MN) endoscopy is a reliable, viable, and well-tolerated diagnostic modality for resistant gastroesophageal reflux disease (GERD). Common complications of the procedure include early dislodgment, poor transmission, and premature removal due to intractable pain, while aspiration of the capsule is exceedingly rare. This paper reports a case of BC aspiration in a 52-year-old female who presented after being ventilated when her oxygen saturation dropped. The initial chest radiograph revealed that the BC was in the right main bronchus; the site was further elaborated by flexible endoscopy and the capsule was found to be in the right lower lobe bronchus distal to the bronchus intermedius...
August 9, 2017: Curēus
https://www.readbyqxmd.com/read/28978608/aspiration-of-nasopore-nasal-packing
#12
Jonathan Smith, Ekambar Reddy
We present a case of postoperative Nasopore aspiration in an otherwise fit and well 11-year-old. An endoscopic adenoidectomy had been performed without incident and Nasopore packing placed into each nasal cavity. Immediately after extubation, there was marked hypoxia, tachypnoea and high clinical suspicion of pack aspiration. The patient returned to theatre for emergency rigid bronchoscopy and retrieval of nasal packing.
October 4, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28964284/management-of-cricopharyngeal-achalasia-in-an-8-month-child-using-endoscopic-cricopharyngeal-myotomy
#13
Cinzia Marchica, Faisal Zawawi, Sam J Daniel
A term baby was transferred to our tertiary care center with desaturations and inability to manage upper airway secretions. Rigid bronchoscopy and swallowing study revealed cricopharyngeal (CP) achalasia. A gastrostomy tube insertion and Botulinum Toxin-A injection were performed at 6 weeks of age. Improvement of symptoms was observed, however were short-lived requiring recurrent injections. Given the symptom severity, at 8 months, a successful endoscopic CP myotomy was performed. Patient was able to tolerate oral feeds as early as 2 months post-operatively...
October 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28950380/is-fibre-optic-bronchoscopy-necessary-to-confirm-the-position-of-rigid-angled-endobronchial-blockers-before-thoracic-surgery-a-randomized-controlled-trial
#14
Man-Ling Wang, Yi-Ping Wang, Ming-Hui Hung, Hsao-Hsun Hsu, Jin-Shing Chen, Fu-Sui Yang, Ya-Jung Cheng
OBJECTIVES: To determine the success rate of blind insertion and the usefulness of fibre-optic bronchoscopy for directing rigid-angled endobronchial blockers (EBs) to the correct side and achieving satisfactory surgical fields. METHODS: A randomized trial was designed to determine the extent to which the Coopdech Endobronchial Blocker Tube (Daiken Medical Co., Ltd) could successfully be placed through either auscultation ( n  = 57) or fibre-optic bronchoscopy ( n  = 55) in patients scheduled for thoracic surgery...
July 25, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28932570/the-technique-of-endoscopic-airway-tumor-treatment
#15
REVIEW
Simone Scarlata, Lello Fuso, Gabriele Lucantoni, Francesco Varone, Daniele Magnini, Raffaele Antonelli Incalzi, Gianni Galluccio
More than half of primary lung cancers are not resectable at diagnosis and 40% of deaths may be secondary to loco-regional disease. Many of these patients suffer from symptoms related to airways obstruction. Indications for therapeutic endoscopic treatment are palliation of dyspnea and other obstructive symptoms in advanced cancerous lesions and cure of early lung cancer. Bronchoscopic management is also indicated for all those patients suffering from benign or minimally invasive neoplasm who are not suitable for surgery due to their clinical conditions...
August 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28910517/pediatric-flexible-and-rigid-bronchoscopy-in-european-centers-availability-and-current-practice
#16
Dirk Schramm, Yin Yu, Anna Wiemers, Christina Vossen, Deborah Snijders, Uros Krivec, Kostas Priftis, Ernst Eber, Petr Pohunek
AIM: Eighteen years have passed since the last European survey concerning practices in pediatric bronchoscopy was conducted. Therefore, members of the European Respiratory Society (ERS) Pediatric Bronchology Group 7.7, initiated the "European Pediatric Bronchoscopy Survey 2015," which aimed to assess the current state of this evolving diagnostic and therapeutic procedure in the field of pediatric respiratory medicine. METHOD: A questionnaire was sent to national representatives of 44 European countries with the request to distribute it to all centers performing pediatric bronchoscopies...
November 2017: Pediatric Pulmonology
https://www.readbyqxmd.com/read/28881352/current-practice-of-airway-stenting-in-the-adult-population-in-europe-a-survey-of-the-european-association-of-bronchology-and-interventional-pulmonology-eabip
#17
Hervé Dutau, David Breen, Antonio Bugalho, Levent Dalar, Johannes Daniels, Christophe Dooms, Ralf Eberhardt, Lars Ek, Milena Encheva, Michel Febvre, Martin Hackl, Sirje Marran, Zsolt Papai-Szekely, Michael Perch, Mihovil Roglic, Antoni Rosell, Ales Rozman, Pallav L Shah, Marioara Simon, Artur Szlubowski, Grigoris Stratakos, Arve Sundset, Toomas Uibu, Christophe Von Garnier, Bojan Zaric, Marija Zdraveska, Lina Zuccatosta, Darijo Bokan, Syed Arshad Husain, Semra Bilaceroglu, Paola Gasche-Soccal, Stefano Gasparini, Felix J F Herth, Muhammed Munavvar
BACKGROUND: Airway stenting (AS) commenced in Europe circa 1987 with the first placement of a dedicated silicone airway stent. Subsequently, over the last 3 decades, AS was spread throughout Europe, using different insertion techniques and different types of stents. OBJECTIVES: This study is an international survey conducted by the European Association of Bronchology and Interventional Pulmonology (EABIP) focusing on AS practice within 26 European countries. METHODS: A questionnaire was sent to all EABIP National Delegates in February 2015...
September 8, 2017: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/28844207/a-novel-presentation-of-mycobacterium-avium-complex-in-a-recipient-of-a-lung-transplant-a-case-report
#18
Leah Cohen, Jeannette Guarner, William R Hunt
BACKGROUND: Lung transplantation remains an important potential therapeutic option for end-stage lung disease. It can improve quality of life and in some cases be a life-lengthening therapy. Despite the possible benefits, there are also many potential complications following transplantation. Here we describe a novel presentation of nontuberculous mycobacterium manifesting as an endobronchial mass developing 4 years after lung transplantation. CASE PRESENTATION: A 66-year-old African-American woman presented with progressive dyspnea, cough, and persistent wheezing of 2 months' duration...
August 28, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28834918/endobronchial-melanoma-metastasis-40-years-after-the-excision-of-the-primary-cutaneous-tumor-a-case-report
#19
Georgia Karpathiou, Marios Froudarakis, Vanessa Da Cruz, Fabien Forest, Maxime Sauvage, Jean Michel Vergnon, Michel Peoc'h
RATIONALE: Endobronchial melanoma metastases are rare, comprising 4.5% of all endobronchial metastases. They are diagnosed at a median time of 48 months from primary tumor presentation, and survival of these patients is poorer when accompanied by other metastatic sites or malignant pleural effusion. We present a case of endobronchial melanoma metastasis happening 40 years after the initial diagnosis. The need of adjuvant techniques in the diagnosis of this tumor is highlighted and a short review on this rare phenomenon is provided...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28834349/extramedullary-plasmacytoma-in-the-airway-of-an-hiv-positive-child
#20
Pierre Goussard, Alexia Kappos, Jacques Janson
We describe a case of an extramedullary plasmacytoma (EMP) in an HIV-positive child. An 11- year-old, HIV-infected female patient, on antiretroviral therapy since 2010, was referred with difficult to control asthma and bronchiectasis. The lesion was identified on CT chest following persisting reduced air entry and unilateral wheezing on the right. Rigid bronchoscopy identified a large pedunculated fleshy mass in the right main bronchus. Biopsy revealed it to be a plasmacytoma. Right main bronchus sleeve resection was done with complete removal of the tumor...
August 18, 2017: Pediatric Pulmonology
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