Endoscopic management of idiopathic tracheal stenosis
| Autor: | François Lebargy, Marc Noppen, Thierry Jeanfaivre, Hervé Dutau, Gaëtan Deslée, Jeanne-Marie Perotin, Jean-Michel Vergnon, H. Vallerand, Yoann Thibout, Stéphane Jouneau, Hervé Lena, Charles-Hugo Marquette, Christine Lorut, Jean-Claude Merol, Philippe Ramon |
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| Přispěvatelé: | Plasticité de l'épithélium respiratoire dans les conditions normales et pathologiques - UMR-S 903 (PERPMP), SFR CAP Santé (Champagne-Ardenne Picardie Santé), Université de Reims Champagne-Ardenne (URCA)-Université de Picardie Jules Verne (UPJV)-Université de Reims Champagne-Ardenne (URCA)-Université de Picardie Jules Verne (UPJV)-Centre Hospitalier Universitaire de Reims (CHU Reims)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Reims Champagne-Ardenne (URCA), Service de Pneumologie [Saint-Etienne], CHU Saint-Etienne, Signalisation et Réponses aux Agents Infectieux et Chimiques (SeRAIC), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), Service de Pneumologie, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Hôtel Dieu, Pulmonary Department, Academisch Ziekenhuis Vrije Universiteit Brussel, Université de Reims Champagne-Ardenne (URCA)-Centre Hospitalier Universitaire de Reims (CHU Reims)-Institut National de la Santé et de la Recherche Médicale (INSERM)-SFR CAP Santé (Champagne-Ardenne Picardie Santé), Université de Reims Champagne-Ardenne (URCA)-Université de Reims Champagne-Ardenne (URCA), Service de Pneumologie et Oncologie thoracique [CHU Saint-Etienne], Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne] (CHU ST-E)-Université Jean Monnet - Saint-Étienne (UJM), Université de Rennes (UR) |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
Time Factors medicine.medical_treatment MESH: Electrocoagulation MESH: Risk Assessment MESH: Catheterization [SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract Electrocoagulation MESH: Tracheal Stenosis 0302 clinical medicine Bronchoscopy Recurrence 030223 otorhinolaryngology MESH: Treatment Outcome MESH: Middle Aged medicine.diagnostic_test Biopsy Needle MESH: Follow-Up Studies Middle Aged 3. Good health Treatment Outcome MESH: Laser Therapy 030220 oncology & carcinogenesis Female Stents Radiology Laser Therapy Cardiology and Cardiovascular Medicine Tracheal Stenosis MESH: Tomography X-Ray Computed Pulmonary and Respiratory Medicine Adult medicine.medical_specialty MESH: Biopsy Needle Endoscopic management Risk Assessment MESH: Endoscopy Catheterization 03 medical and health sciences medicine Humans MESH: Bronchoscopy Retrospective Studies MESH: Humans business.industry MESH: Time Factors Endoscopy MESH: Adult MESH: Retrospective Studies medicine.disease MESH: Male Surgery MESH: Recurrence Stenosis MESH: Stents Multicenter study Interventional bronchoscopy business Tomography X-Ray Computed MESH: Female Follow-Up Studies |
| Zdroj: | Annals of Thoracic Surgery Annals of Thoracic Surgery, Elsevier, 2011, 92 (1), pp.297-301. ⟨10.1016/j.athoracsur.2011.03.129⟩ Annals of Thoracic Surgery, 2011, 92 (1), pp.297-301. ⟨10.1016/j.athoracsur.2011.03.129⟩ |
| ISSN: | 0003-4975 1552-6259 |
| DOI: | 10.1016/j.athoracsur.2011.03.129⟩ |
| Popis: | International audience; BACKGROUND: Idiopathic tracheal stenosis (ITS) is a rare condition representing a difficult therapeutic challenge. Endoscopic management is a therapeutic option but long-term results are not established. The aim of this retrospective multicenter study was to analyze long-term outcome after endoscopic management of ITS. METHODS: Nine institutions involved in interventional bronchoscopy were contacted and asked to identify ITS endoscopically treated. A standard form was used to report the main characteristics and long-term outcome after endoscopic management. RESULTS: Twenty-three patients, 96% women, aged 45±16 years, were endoscopically treated for ITS. Time between first symptoms and diagnosis was 19±18 months. Bronchoscopy showed a weblike (61%) or complex (39%) stenosis, located in the upper part of the trachea, mainly in the cricoid area. Endoscopic treatment included mechanical dilation only (52%) or associated with laser or electrocoagulation (30%) and stent placement (18%). All procedures were efficient. The follow-up after endoscopic management was 41±34 months. The ITS recurrence occurred in 30% at 6 months, 59% at 2 years, and 87% at 5 years, with a delay of 14±16 months. The treatment of recurrence (n=13) included endoscopic management in 12 cases. CONCLUSIONS: Endoscopic management of ITS provides a safe and efficient therapeutic option but late recurrences are frequent and require long-term follow-up. |
| Databáze: | OpenAIRE |
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