The Role of Ballooning in Patients with Post-tuberculosis Bronchial Stenosis.
10.4046/trd.2009.66.6.431
- Author:
Yong Soo KWON
1
;
Hojoong KIM
;
Kyung Woo KANG
;
Won Jung KOH
;
Gee Young SUH
;
Man Pyo CHUNG
;
O Jung KWON
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. hjkim@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Airway obstruction;
Balloon dilatation;
Bronchoscopy
- MeSH:
Airway Obstruction;
Bronchoscopy;
Constriction, Pathologic;
Dilatation;
Female;
Humans;
Medical Records;
Pulmonary Atelectasis
- From:Tuberculosis and Respiratory Diseases
2009;66(6):431-436
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In order to access the role of ballooning in patients with post-tuberculosis bronchial stenosis (PTBS), medical records of patients who underwent the procedure were reviewed. METHODS: Twenty-nine PTBS patients underwent balloon dilatation between May 1999 and November 2000 at Samsung Medical Center. The median age was 28 (range 16~62 year) and most patients were female (n=27, 93%). The mean number of ballooning procedures was 2.4 (range 1~8) and the interval between ballooning procedures was 76.2+/-69.7 days. RESULTS: In general, the FEV1 was improved after ballooning (from 66.2.+/-11.9% predicted to 73.5+/-13.0% predicted, p=0.0004). Among 29 patients who underwent ballooning, a clinically successful outcome was observed in 16 patients (55%). Comparison between the successful and unsuccessful groups showed that favorable factors for a successful outcome were a higher pre-ballooning FEV1 (71.1+/-8.1 vs. 60.2+/-13.3% predicted), higher post-ballooning FEV1 (89.2+/-7.8 vs. 63.4+/-9.2% predicted) and absence of left upper lobe collapse. The clinical outcome was unsuccessful in all eight patients with a pre-ballooning FEV1 < or =57% of predicted or with complete left upper lobe collapse. CONCLUSION: In conclusion, ballooning appears to be helpful in patients with PTBS, especially when the pre-ballooning FEV1 >57% of predicted and there is no complete left upper lobe lung collapse.
