Surveillance Bronchoscopy in Lung Transplantation Recipients: A Single Center Experience Analysis
| Autor: | Caio César Bianchi de Castro, Michelle A. Paiva, R. H. O. B. Teixeira, Silvia Vidal Campos, Daniel Bruno Takizawa, André Nathan Costa, Rafael Medeiros Carraro, Ellen Caroline Toledo do Nascimento, Marcos Naoyuki Samano |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Graft Rejection Male medicine.medical_specialty Biopsy medicine.medical_treatment Single Center Asymptomatic Bronchoscopies Young Adult Postoperative Complications Bronchoscopy medicine Humans Lung transplantation Retrospective Studies Transplantation medicine.diagnostic_test Bronchoscopy with Bronchoalveolar Lavage business.industry Gold standard Retrospective cohort study Middle Aged Surgery Female medicine.symptom business Lung Transplantation |
| Zdroj: | Transplantation Proceedings. 52:1380-1383 |
| ISSN: | 0041-1345 |
| Popis: | Bronchoscopy with bronchoalveolar lavage and transbronchial biopsy is the gold standard for the diagnosis of infection or acute cellular rejection in lung transplantation (LTx) recipients, but there is some controversy to perform it in asymptomatic patients. We conducted a retrospective analysis of medical reports of LTx recipients who survived in the first year after transplant during the period of August 2003 to February 2018 to evaluate the applicability of this procedure in the management of asymptomatic acute cellular rejection in our center. We assessed 1252 bronchoscopies of 247 patients during this period, and, facing the histopathological results, we defined our management that included conservative or intervention therapy. In our service the information obtained by surveillance bronchoscopy was sufficient to modify the management mainly in the first 2 surveillance bronchoscopies (second and sixth week post LTx). This effect seems to dilute after the second month, making its applicability more questionable. |
| Databáze: | OpenAIRE |
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