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Case Reports
. 2010 Jan-Feb;17(1):e23-4.
doi: 10.1155/2010/385036.

Endoscopic sealing of bronchopleural fistulas with submucosal injection of a tissue expander: a novel technique

Cayo García-Polo  1 , Antonio León-Jiménez, Jose Luis López-Campos, Aurelio Arnedillo, Enrique González-Moya, Juan José Fernández-Berni, Juan Manuel Gómez
Affiliations
Case Reports

Endoscopic sealing of bronchopleural fistulas with submucosal injection of a tissue expander: a novel technique

Cayo García-Polo et al. Can Respir J. 2010 Jan-Feb.

Abstract
in English, French

The occurrence of a bronchopleural fistula (BPF) continues to represent a challenging management problem, and is associated with high morbidity and mortality. A novel and successful technique that uses submucosal injection of a tissue expander for bronchoscopic occlusion of BPFs has been designed. This method may be used either alone or in combination with bronchoscopic instillation of n-butyl-cyanoacrylate glue. The occlusion technique is described, with a presentation of two patients who were successfully treated with this method. The submucosal injection of a tissue expander is an effective, economical and minimally invasive technique for managing BPFs.

La formation de fistules bronchopleurales (FBP) continue de poser un défi thérapeutique et est associée à une morbidité et à une mortalité élevées. Une nouvelle technique efficace qui repose sur l’injection sous-muqueuse d’un expanseur tissulaire pour l’occlusion bronchoscopique des FBP a vu le jour. Cette méthode peut servir soit seule, soit en association avec l’instillation bronchoscopique de colle de n-butyl-cyanoacrylate. On décrit ici la technique d’occlusion et on présente le cas de deux patients qui ont pu être traités avec succès. L’injection sous-muqueuse d’un expanseur tissulaire est efficace, économique et minimalement effractive en tant que technique pour la prise en charge des FBP.

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References

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