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Titolo:
Evidence against routine scheduling of surveillance bronchoscopy after stent insertion
Autore:
Matsuo, T; Colt, HG;
Indirizzi:
Univ Calif San Diego, Med Ctr, Div Pulm & Crit Care Med, Intervent Pulm Sect, La Jolla, CA 92037 USA Univ Calif San Diego La Jolla CA USA 92037 m Sect, La Jolla, CA 92037 USA
Titolo Testata:
CHEST
fascicolo: 5, volume: 118, anno: 2000,
pagine: 1455 - 1459
SICI:
0012-3692(200011)118:5<1455:EARSOS>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRACHEOBRONCHIAL STENOSES; SILICONE STENTS; MANAGEMENT;
Keywords:
airway stent; silicone stent; stent complications; surveillance bronchoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
8
Recensione:
Indirizzi per estratti:
Indirizzo: Colt, HG Univ Calif San Diego, Med Ctr, Div Pulm & Crit Care Med, Intervent Pulm Sect, 9310 Campus Point Dr, La Jolla, CA 92037 USA Univ Calif San Diego 9310 Campus Point Dr La Jolla CA USA 92037 A
Citazione:
T. Matsuo e H.G. Colt, "Evidence against routine scheduling of surveillance bronchoscopy after stent insertion", CHEST, 118(5), 2000, pp. 1455-1459

Abstract

Study objectives: To determine whether routine scheduling of surveillance flexible fiberoptic bronchoscopy is warranted within 2 to 3 months after silicone stent insertion for central airway obstruction,Design: Retrospective cohort study. Setting: University medical center. Patients: All patients with silicone stents placed for benign or malignanttracheobronchial obstruction during a 3-year period. Methods: Incidence of stent-related complications, new respiratory symptoms, and need for therapeutic bronchoscopic intervention were noted in patients undergoing surveillance bronchoscopy (SFFB) and emergency bronchoscopy (EFFB), defined as flexible fiberoptic bronchoscopy prompted by onset of newsymptoms before the date of scheduled SFFB. Results: One hundred one silicone stents were inserted in 88 patients (47 with cancer, 41 with benign disease). Eighteen patients died within 2 months and had no bronchoscopy. Seventy patients underwent either SFFB or EFFB, Stent-related complications were detected in 9 of 31 asymptomatic patients (29%) undergoing SFFB; all had received tumor-specific therapy after stent insertion (in 7 of 8 patients [88%] reporting new respiratory symptoms at the time of SEER, and in 26 of 31 patients [84%] undergoing EFFB). Overall, stent-related complications were detected in nine asymptomatic patients (10% of total), of which only four patients (5% of total, but 13% of all asymptomatic patients) required therapeutic interventions. Conclusion: Routine SEER within 2 to 3 months after stent insertion did not detect a high incidence of stent-related complications among patients without new respiratory symptoms.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 22:12:44