Functional evaluation before and after interventional bronchoscopy in patients with malignant central airway obstruction

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dc.contributor.authorDiacon A.M.
dc.contributor.authorBolliger C.T.
dc.date.accessioned2011-05-15T16:17:24Z
dc.date.available2011-05-15T16:17:24Z
dc.date.issued2001
dc.description.abstractRigid or flexible interventional bronchoscopy is increasingly accepted for treating central tracheal or bronchial obstruction caused by incurable pulmonary malignancy. Immediate and sustained symptomatic relief and improvement of quality of life can be offered to patients suffering from dyspnoea and facing death by suffocation. Selection of patients based on functional aspects is of central importance for success in endoscopic treatment. A thorough workup is conducted with close cooperation between the various specialists involved in thoracic oncology (pulmonologist, oncologist, radio-oncologist, thoracic and upper airway surgeon). Careful history taking, clinical examination, pulmonary function testing (PFT) and radiologic imaging are needed to assess the general condition of the patient and give information of type and stage of the underlying malignancy. In eligible patients, timing and method of the intervention depend on the acuteness of the presentation and the endoscopic assessment of the lesion responsible for the obstruction. Regular postinterventional follow-up should be conducted by the patient's doctor and consist of clinical examination, PFT and chest radiography. Close cooperation with the specialist centre is necessary to refer patients for repeat bronchoscopy and management of suspected recurrences or complications.
dc.description.versionReview
dc.identifier.citationMonaldi Archives for Chest Disease
dc.identifier.citation56
dc.identifier.citation1
dc.identifier.issn11220643
dc.identifier.urihttp://hdl.handle.net/10019.1/14205
dc.subjectantineoplastic agent
dc.subjectacute disease
dc.subjectairway obstruction
dc.subjectanamnesis
dc.subjectbrachytherapy
dc.subjectbronchoscopy
dc.subjectbronchus obstruction
dc.subjectcancer classification
dc.subjectcancer staging
dc.subjectdeath
dc.subjectdiagnostic imaging
dc.subjectdyspnea
dc.subjectendoscopic therapy
dc.subjectfollow up
dc.subjectfunctional assessment
dc.subjecthuman
dc.subjectlung function test
dc.subjectmalignant neoplastic disease
dc.subjectmedical examination
dc.subjectmedical specialist
dc.subjectoncology
dc.subjectquality of life
dc.subjectradiology
dc.subjectrecurrent disease
dc.subjectreview
dc.subjectsymptomatology
dc.subjectthorax radiography
dc.subjecttrachea obstruction
dc.subjecttreatment outcome
dc.subjectAirway Obstruction
dc.subjectBronchial Neoplasms
dc.subjectBronchoscopy
dc.subjectHumans
dc.subjectRespiratory Function Tests
dc.titleFunctional evaluation before and after interventional bronchoscopy in patients with malignant central airway obstruction
dc.typeReview
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