Argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscope
Central airway obstruction from malignant or benign endobronchial tumor can result in respiratory failure. Therapeutic bronchoscopy offers effective method in alleviating dyspnea, controlling hemoptysis and improving quality of life. Aim of the work: The aim of our study was to assess safety and eff...
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doaj-9a13709feb93447891f42a5aa88e267a2020-11-24T21:33:57ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382017-01-0166118118610.1016/j.ejcdt.2016.12.010Argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscopeSayed Ahmed M. Abd El HafezMohammad Khairy El BadrawyRaed Elmetwally AliTamer EL HadidyMohammed Sheht aAbd ALLAHCentral airway obstruction from malignant or benign endobronchial tumor can result in respiratory failure. Therapeutic bronchoscopy offers effective method in alleviating dyspnea, controlling hemoptysis and improving quality of life. Aim of the work: The aim of our study was to assess safety and efficacy of Argon plasma coagulation (APC) versus Cryotherapy in treatment of endobronchial obstruction. Patients and methods: This study was conducted at Chest Medicine Department, Mansoura University Hospital. This study included 20 patients with central airway obstruction (15 male and 5 female). They were divided into two groups. Group A treated with APC in addition to chemotherapy in case of malignant airways obstruction. Group B treated with cryotherapy besides chemotherapy in malignant patients. Clinical, radiological, bronchoscopic and functional data were evaluated before and after therapy. Results: There was significant improvement in dyspnea, hemoptysis and cough scores in both groups after therapy when compared to pre-treatment state. Spirometric parameters were improved in both groups. Radiological improvement occurred in 6 out of 10 patients in group A, in 4 out of 10 patients in group B. As regards the complications of the procedures, in group A: bleeding in one case, bronchospasm in one patient and pneumomediastinum in one patient. While in group B: 2 patients were complicated with bleeding, one patient with bronchospasm and one patient with respiratory failure. Conclusion: Both APC and cryotherapy were equally safe and effective methods for treating patients with endobronchial obstruction.http://www.sciencedirect.com/science/article/pii/S0422763816302734Argon plasma coagulationCryotherapyLung cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sayed Ahmed M. Abd El Hafez Mohammad Khairy El Badrawy Raed Elmetwally Ali Tamer EL Hadidy Mohammed Sheht aAbd ALLAH |
spellingShingle |
Sayed Ahmed M. Abd El Hafez Mohammad Khairy El Badrawy Raed Elmetwally Ali Tamer EL Hadidy Mohammed Sheht aAbd ALLAH Argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscope Egyptian Journal of Chest Disease and Tuberculosis Argon plasma coagulation Cryotherapy Lung cancer |
author_facet |
Sayed Ahmed M. Abd El Hafez Mohammad Khairy El Badrawy Raed Elmetwally Ali Tamer EL Hadidy Mohammed Sheht aAbd ALLAH |
author_sort |
Sayed Ahmed M. Abd El Hafez |
title |
Argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscope |
title_short |
Argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscope |
title_full |
Argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscope |
title_fullStr |
Argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscope |
title_full_unstemmed |
Argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscope |
title_sort |
argon plasma coagulation versus cryotherapy in alleviation of endobronchial obstruction via fiberoptic bronchoscope |
publisher |
Wolters Kluwer Medknow Publications |
series |
Egyptian Journal of Chest Disease and Tuberculosis |
issn |
0422-7638 |
publishDate |
2017-01-01 |
description |
Central airway obstruction from malignant or benign endobronchial tumor can result in respiratory failure. Therapeutic bronchoscopy offers effective method in alleviating dyspnea, controlling hemoptysis and improving quality of life.
Aim of the work: The aim of our study was to assess safety and efficacy of Argon plasma coagulation (APC) versus Cryotherapy in treatment of endobronchial obstruction.
Patients and methods: This study was conducted at Chest Medicine Department, Mansoura University Hospital. This study included 20 patients with central airway obstruction (15 male and 5 female). They were divided into two groups. Group A treated with APC in addition to chemotherapy in case of malignant airways obstruction. Group B treated with cryotherapy besides chemotherapy in malignant patients. Clinical, radiological, bronchoscopic and functional data were evaluated before and after therapy.
Results: There was significant improvement in dyspnea, hemoptysis and cough scores in both groups after therapy when compared to pre-treatment state. Spirometric parameters were improved in both groups. Radiological improvement occurred in 6 out of 10 patients in group A, in 4 out of 10 patients in group B. As regards the complications of the procedures, in group A: bleeding in one case, bronchospasm in one patient and pneumomediastinum in one patient. While in group B: 2 patients were complicated with bleeding, one patient with bronchospasm and one patient with respiratory failure.
Conclusion: Both APC and cryotherapy were equally safe and effective methods for treating patients with endobronchial obstruction. |
topic |
Argon plasma coagulation Cryotherapy Lung cancer |
url |
http://www.sciencedirect.com/science/article/pii/S0422763816302734 |
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