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Review
. 2023 Mar:45:30-44.
doi: 10.1016/j.prrv.2022.12.001. Epub 2022 Dec 17.

Complicated intrathoracic tuberculosis: Role of therapeutic interventional bronchoscopy

Pierre Goussard  1 , Ernst Eber  2 , Shyam Venkatakrishna  3 , Lisa Frigati  4 , Jacques Janson  5 , Pawel Schubert  6 , Savvas Andronikou  3
Affiliations
Review

Complicated intrathoracic tuberculosis: Role of therapeutic interventional bronchoscopy

Pierre Goussard et al. Paediatr Respir Rev. 2023 Mar.

Abstract

In recent years bronchoscopy equipment has been improved with smaller instruments and larger size working channels. This has ensured that bronchoscopy offers both therapeutic and interventional options. As the experience of paediatric interventional pulmonologists continues to grow, more interventions are being performed. There is a scarcity of published evidence in the field of interventional bronchoscopy in paediatrics. This is even more relevant for complicated pulmonary tuberculosis (PTB). Therapeutic interventional bronchoscopy procedures can be used in the management of complicated tuberculosis, including for endoscopic enucleations, closure of fistulas, dilatations of bronchial stenosis and severe haemoptysis. Endoscopic therapeutic procedures in children with complicated TB may prevent thoracotomy. If done carefully these interventional procedures have a low complication rate.

Keywords: Flexible bronchoscopy; Interventional bronchoscopy; Pulmonary tuberculosis; Rigid bronchoscopy; Xpert MTB/RIF.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.