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Lung India Official publication of Indian Chest Society  
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ORIGINAL ARTICLE
Year : 2012  |  Volume : 29  |  Issue : 1  |  Page : 11-14

Bronchoscopic management of bronchopleural fistula with intrabronchial instillation of glue (N-butyl cyanoacrylate)


1 Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, Rohini, Delhi, India
2 Professor and Head, Department of Respiratory Medicine, Sharda Medical College and Hospital, Noida, UP, India
3 Department of General and Laparoscopic Surgery, Saroj Hospital, Rohini, New Delhi, India
4 Quality Assurance Coordinator, Jaipur Golden Hospital, Rohini, Delhi, India

Correspondence Address:
Rakesh K Chawla
Chawla Respiratory Care, Allergy, Sleep Disorders and Research Centre, 58-59/C-12/Sector-3, Rohini, Delhi-110 085
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.92350

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Context: Bronchopleural fistula (BPF) is a communication between the pleural space and bronchial tree. Materials and Methods: A series of 9 cases are reported where BPF was identified and managed with intrabronchial instillation of glue (N-butyl-cyanoacrylate) through a video bronchoscope. Results: Out of 9 patients the BPF was successfully sealed in 8 cases (88.88%). In 1 patient of postpneumonectomy, the fistula was big, that is >8 mm who had a recurrence after the procedure. In one case of pyopneumothorax the leak reduced slowly and it took us 14 days to remove the intercostal drainage tube. Rest of the patients had a favorable outcome. No complications were observed in a follow-up of 6 months. Conclusions: In our opinion, it is a cost-effective, viable, and safe alternative compared with costly, time-consuming, and high-risk surgical procedures.


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