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(Chest. 2002;122:374-378.)
© 2002 American College of Chest Physicians

Central Bronchopleural Fistulas Closed by Bronchoscopic Injection of Absolute Ethanol*

Kazuo Takaoka, MD; Shoichi Inoue, MD and Seiji Ohira, MD

* From the Sapporo Social Insurance General Hospital (Dr. Takaoka), Sapporo, Japan; and the Department of Environmental Medicine and Informatics (Dr. Inoue), Graduate School of Environmental Earth Science, Hokkaido University, Sapporo, Japan; and Nikko Memorial Hospital (Dr. Ohira), Muroran, Japan.

Correspondence to: Kazuo Takaoka, MD, Sapporo Social Insurance General Hospital, 2-1, 2-6, Atsubetsu-Chuoh, Atsubetsu-Ku, Sapporo 004-0052, Japan; e-mail: ssighlib{at}ruby.ocn.ne.jp

Five consecutive bronchopleural fistulas (BPFs) were successfully treated by injecting absolute ethanol directly into the submucosal layer of the fistula under flexible bronchoscopic observation. No complications occurred as a result of this treatment. Our nonsurgical treatment may be very useful to reduce the costs of and duration of hospitalization and to improve the patient’s quality of life. This is the first report of the bronchoscopic closure of BPFs by injecting absolute ethanol, and we would recommend this treatment as a first-line therapy for patients with a postoperative central BPF with an orifice that is < 3 mm in diameter.

Key Words: bronchopleural fistula • bronchoscopic closure • ethanol




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Central Bronchopleural Fistulas Closed by Bronchoscopic Injection of Absolute Ethanol
Satinder K. Jain
Chest Online, 15 Jul 2002 [Full text]

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