Successfully treated postbronchoplasty bronchial stenosis using short-interval repeated endobronchial balloon dilation.
A 63-year-old man with a history of lung cancer underwent lobectomy of the right upper lobe and bronchoplasty. At the 2-month follow-up, bronchial stenosis due to a granuloma was observed. Endoscopic débridement and balloon dilation were performed. At 1 month after the dilation, atelectasis occurred owing to cicatricial stenosis. We repeated balloon dilation, but the patient suffered from cicatricial restenosis. After a failed stent placement, balloon dilation was then performed every 2 weeks under local anesthesia; the stenosis was resolved after performing dilation 7 times. Short-term repeated balloon dilation was effective in this case.
Department of Thoracic Surgery, National Hospital Organization Chiba East National Hospital, 673 Nitona-cho, chuo-ku, Chiba 260-8712, Japan. takeiwata-ths@umin.ac.jp
Takekazu
T
Iwata
Hisami
H
Yamakawa
Taiki
T
Fujiwara
Yukiko
Y
Matsui
Michio
M
Fujino
D000230:Adenocarcinoma / Q000601:surgery; D001982:Bronchial Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D002404:Catheterization; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*