Selective bronchial occlusion for acquired bronchobiliary fistula caused by treatment of hepatocellular carcinoma: A case series.

IF 0.8 Q4 RESPIRATORY SYSTEM
Respirology Case Reports Pub Date : 2024-07-30 eCollection Date: 2024-08-01 DOI:10.1002/rcr2.1440
Bi Zhao, Rui Chen Huang, Yang Xia, Yuchao Dong, Haidong Huang, Lijun Zhao, Wei Zhang
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引用次数: 0

Abstract

Acquired bronchobiliary fistula (ABBF) is very rare among the complications that occur in patients with hepatocellular carcinoma (HCC) after treatment. Although surgery and drainage have been the main methods for treating ABBF for a long time, they are not entirely suitable for patients with refractory ABBF resulting from HCC therapy. In this study, we present four cases of ABBF caused by HCC treatment, who were treated using selective bronchial occlusion (SBO). Among the 4 patients with ABBF treated with SBO, 3 cases successfully blocked ABBF with SBO, and the treatment success rate was 75%. All successfully treated patients reported disappearance of symptoms of bilioptysis and cough was alleviated. No life-threatening adverse reactions were reported following SBO intervention, and no deaths occurred. We believe that the use of video bronchoscopy to place a self-made silicone plug in the bronchus to treat refractory ABBF is a feasible palliative treatment, which can significantly improve the condition of ABBF patients.

选择性支气管闭塞术治疗肝癌引起的后天性支气管胆道瘘:病例系列。
获得性支气管胆管瘘(ABBF)是肝细胞癌(HCC)患者治疗后出现的并发症中非常罕见的一种。虽然长期以来手术和引流一直是治疗 ABBF 的主要方法,但它们并不完全适用于 HCC 治疗导致的难治性 ABBF 患者。在本研究中,我们介绍了四例因 HCC 治疗导致的 ABBF 患者,他们均接受了选择性支气管闭塞(SBO)治疗。在采用 SBO 治疗的 4 例 ABBF 患者中,3 例成功阻断了 ABBF,治疗成功率为 75%。所有成功治疗的患者均表示胆汁栓塞症状消失,咳嗽减轻。SBO 介入治疗后未出现危及生命的不良反应,也没有死亡病例。我们认为,使用视频支气管镜将自制的硅胶塞置入支气管治疗难治性 ABBF 是一种可行的姑息治疗方法,可显著改善 ABBF 患者的病情。
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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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