title: Bronchoscopic management of bronchopleural fistula with intrabronchial instillation of glue (N-butyl cyanoacrylate).
abstract: BACKGROUND
  Bronchopleural fistula (BPF) is a communication between the pleural space and bronchial tree.
  
  
  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.
authors.affiliation: Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, Rohini, Delhi, India.
authors.forename: Rakesh K
authors.initials: RK
authors.lastname: Chawla
authors.forename: Arun
authors.initials: A
authors.lastname: Madan
authors.forename: P K
authors.initials: PK
authors.lastname: Bhardwaj
authors.forename: Kiran
authors.initials: K
authors.lastname: Chawla