ABSTRACT
Background: Central airway obstruction caused by malignant or benign lesions, associated in some cases with hemoptysis, is a condition with high morbidity and mortality. The use of electrocautery by flexible bronchoscopy is an initial treatment option with immediate improvement of obstruction symptoms. It is as effective as Nd: YAG laser. Aim: To describe the usefulness of electrocautery in the management of central obstruction of the airway and hemoptysis. Material and Methods: A retrospective, descriptive study of patients referred for management of central airway obstruction or associated hemoptysis. Diagnoses, symptoms (dyspnea, cough, and hemoptysis) and radiology before and after the procedures were analyzed. Results: Eighteen patients aged 59 ± 12 years (66% males) were evaluated, registering 25 endoscopic procedures. Three conditions were found: partial or complete airway obstruction, hemoptysis and post lung transplant bronchial stenosis. Seventy two percent presented with dyspnea, 61% with cough and 33% with hemoptysis. Sixty six percent of patients had airway obstruction caused by malignant metastatic lesions. After electrocautery, 17 patients (94.4%) improved their symptoms and achieved complete airway clearing. Three patients had significant bronchial stenosis after lung transplant achieving subsequent clearing after electrocautery. Conclusions: Electrocautery during flexible bronchoscopy is an effective and safe procedure for the management of central airway obstruction and associated hemoptysis.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Bronchoscopy/methods , Airway Obstruction/surgery , Electrocoagulation/methods , Hemoptysis/surgery , Bronchi/surgery , Bronchi/physiopathology , Reproducibility of Results , Retrospective Studies , Treatment Outcome , Disease Management , Cough , Airway Obstruction/etiology , Dyspnea , Lasers, Solid-State , Hemoptysis/etiology , Lung Neoplasms/complicationsSubject(s)
Humans , Male , Adult , Female , Follow-Up Studies , Hyaluronic Acid , Osteoarthritis, KneeABSTRACT
Se presentan 30 casos de tumores primarios retroperitoneales de origen mesenquimático, en un período de 11 años, correspondiendo 17 al sexo femenino y 13 al masculino. Los síntomas y signos tuvieron un promedio de 10,8 meses desde su inicio hasta el momento del diagnóstico. Fueron 21 tumores malignos y 9 benignos, siendo los liposarcomas y neurilemomas los más frecuentes respectivamente. Todos fueron intervenidos quirúrgicamente realizándose extirpación completa en 21, parcial en 4 y sólo biopsia en 5. Se analizan las intervenciones agregadas y sus resultados en cuanto a mortalidad intraoperatoria y global. Se presentan los tratamientos coadyudantes como quimioterapia y radioterapia, mostrando los esquemas usados en cada uno de ellos
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Mesoderm , Retroperitoneal Neoplasms/etiology , Chemotherapy, Adjuvant , Histological Techniques , Intraoperative Complications/mortality , Liposarcoma/surgery , Neurilemmoma/surgery , Radiotherapy, Adjuvant , Retroperitoneal Neoplasms/classification , Retroperitoneal Neoplasms/diagnosis , Retroperitoneal Neoplasms/surgery , Surgical Procedures, Operative/classificationABSTRACT
Se presentan 56 pacientes portadores de esófago de Barret en el período comprendido entre 1978 y 1983. El grupo es analizado desde el punto de vista clínico, endoscópico, radiológico y manométrico. Se cataloga la severidad de la sintomatología de acuerdo con una tabla de puntaje. Fueron intervenidos 41 pacientes, siendo la cirugía antirreflujo la que se le practicó a este grupo de pacientes. En el 75% de ellos, se hizo V.P.G. + calibración cardial + gastropexia posterior y cierre de pilares diafragmáticos. La evolución postoperatoria demuestra importante mejoría manométrica sin regresión del ascenso mucoso. Se hace un comentario de acuerdo con la opinión de otros autores comenzando en la literatura mundial