Lung resection for the treatment of severe localised bronchiectasis in cystic fibrosis patients
Dalrymple-Hay, M. J, Lucas, J.S., Connett, G. and Lea, R. E. (1999) Lung resection for the treatment of severe localised bronchiectasis in cystic fibrosis patients. Acta Chirurgica Hungarica, 38, (1), 23-25. (PMID:10439089).
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Description/Abstract
BACKGROUND: A small proportion of cystic fibrosis patients develop severe localised bronchiectasis. When this persists despite maximal medical therapy it presents a difficult management problem. Lung transplantation cannot be justified. We report encouraging results in six patients with severe localised bronchiectasis and cystic fibrosis who underwent pulmonary resection.
METHODS: Each child had severe localised bronchiectasis despite maximal medical therapy. Intensive preoperative toilet was instituted and pulmonary resection undertaken when lung function was optimal.
RESULTS: There was a marked improvement in symptoms in every case. No significant long-standing morbidity was associated with the resection. There was no significant decrease in pulmonary function following resection.
CONCLUSION: Pulmonary resection should be considered in the management of severe localised bronchiectasis unresponsive to maximal medical therapy in cystic fibrosis patients.
| Item Type: | Article |
|---|---|
| ISSNs: | 0231-4614 (print) |
| Subjects: | R Medicine > RD Surgery R Medicine > RJ Pediatrics R Medicine > RM Therapeutics. Pharmacology |
| Divisions: | Faculty of Medicine > Infection, Inflammation and Immunity |
| Item ID: | 198837 |
| Date Deposited: | 07 Oct 2011 15:54 |
| Last Modified: | 02 Mar 2012 12:18 |
| Contributors: | Dalrymple-Hay, M. J (Author) Lucas, J.S. (Author) Connett, G. (Author) Lea, R. E. (Author) |
| Date: | 1999 |
| Status: | Published |
| URI: | http://eprints.soton.ac.uk/id/eprint/198837 |
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