Tuberc Respir Dis > Volume 38(4); 1991 > Article
Tuberculosis and Respiratory Diseases 1991;38(4):347-356.
DOI: https://doi.org/10.4046/trd.1991.38.4.347    Published online December 1, 1991.
Bronchoscopic electrocautery for airway obstruction in the tumorous type of endobronchial tuberculosis.
Hee Soon Chung1, In Gyu Hyun2, Sung Koo Han2
1Department of Internal Medidne, Seoul National University College of Medidne & Seoul City Boramae Hospital, Seoul, Koera
2Department of Internal Medidne & Tuberculosis Research Institute, Seoul National University College of Medidne, Seoul, Korea
Abstract
Endobronchial tuberculosis is a serious disase because it frequently leaves airway obstruction as the complication, and the treatment of airway obstruction is generally troublesome. In the tumorous type of endobonchial tuberculosis, the bronchial patency is partially or completely compromised with Iymph node contents when the necrotic focus of the lymph node ruptures into the bronchial lumen to forrn a bronchoglandular fistula. To investigate the transition of endobronchial lesion and to evaluate the therapeutic role of bronchoscopic electrocautery in the tumorous type of endobronchial tuberculosis, we performed electrocautery in addition to the combination chemotherapy with steroid and anti-tuberculous drugs in two cases which had airway obstruction proximal to lobar bronchus with the impairment of pulmonary function. We also treated another two cases only with chemotherapy and we have followed up four cases over a 36-month period. In cases that bronchoscopic electrocautery was done, the bronchial patency was completely restored and the impairment of pulmonary function disappeared just after cautery and these effects have remained for 12 months or more. But in cases of medical treatment only, bronchial stenosis was inevitable as the tumorous type of endobronchial tuberculosis changed to the stenotic type with fibrosis. It can be concluded that bronchoscopic electrocautery can nip the occurence of bronchial stenosis in the bud when it is applied in addition to combination chemotherapy with steroid and anti-tuberculous drugs in the tumorous type of endobronchial tuberculosis.


ABOUT
ARTICLE & TOPICS
Article category

Browse all articles >

Topics

Browse all articles >

BROWSE ARTICLES
FOR CONTRIBUTORS
Editorial Office
101-605, 58, Banpo-daero, Seocho-gu (Seocho-dong, Seocho Art-Xi), Seoul 06652, Korea
Tel: +82-2-575-3825, +82-2-576-5347    Fax: +82-2-572-6683    E-mail: katrdsubmit@lungkorea.org                

Copyright © 2024 by The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Developed in M2PI

Close layer
prev next