Chronic obstructive pulmonary disease surgery: Difference between revisions

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'''Chronic obstructive pulmonary disease''' (COPD), also known as '''chronic obstructive lung disease''' (COLD), '''chronic obstructive airway disease''' (COAD), '''chronic airflow limitation''' (CAL) and '''chronic obstructive respiratory disease '''(CORD), is characterized by the pathological limitation of airflow in the airway that is not fully reversible <ref name="pmid12198919">{{cite journal |author=Mannino DM, Homa DM, Akinbami LJ, Ford ES, Redd SC |title=Chronic obstructive pulmonary disease surveillance--United States, 1971-2000 |journal=[[MMWR. Surveillance Summaries : Morbidity and Mortality Weekly Report. Surveillance Summaries / CDC]] |volume=51 |issue=6 |pages=1–16 |year=2002 |month=August |pmid=12198919 |doi= |url= |accessdate=2012-03-01}}</ref>.
'''Chronic obstructive pulmonary disease''' (COPD), also known as '''chronic obstructive lung disease''' (COLD), '''chronic obstructive airway disease''' (COAD), '''chronic airflow limitation''' (CAL) and '''chronic obstructive respiratory disease '''(CORD), is characterized by the pathological limitation of airflow in the airway that is not fully reversible <ref name="pmid12198919">{{cite journal |author=Mannino DM, Homa DM, Akinbami LJ, Ford ES, Redd SC |title=Chronic obstructive pulmonary disease surveillance--United States, 1971-2000 |journal=[[MMWR. Surveillance Summaries : Morbidity and Mortality Weekly Report. Surveillance Summaries / CDC]] |volume=51 |issue=6 |pages=1–16 |year=2002 |month=August |pmid=12198919 |doi= |url= |accessdate=2012-03-01}}</ref>.
==Surgery==
==Surgery==
* The giant bullae seen in patients of emphysema can compress the surrounding lung tissues and cause compromised ventilation and blood flow to unaffected lung.
* The giant bullae (1-4 cm, giant bullae may occupy 1/3rd of lung tissue) seen in patients of emphysema can compress the surrounding lung tissues and cause compromised ventilation and blood flow to unaffected lung.
* Bullectomy is the process of removing these bullae and can help these patients as it causes expansion of the compressed lung
* Bullectomy is the process of removing these bullae and can help these patients as it causes expansion of the compressed lung
* Patients who are symptomatic and have an FEV1 of less than 50% of the predicted value have a better outcome after bullectomy.
* Patients who are symptomatic and have an FEV1 of less than 50% of the predicted value have a better outcome after bullectomy.

Revision as of 14:14, 23 March 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Priyamvada Singh, MBBS [3]

Overview

Chronic obstructive pulmonary disease (COPD), also known as chronic obstructive lung disease (COLD), chronic obstructive airway disease (COAD), chronic airflow limitation (CAL) and chronic obstructive respiratory disease (CORD), is characterized by the pathological limitation of airflow in the airway that is not fully reversible [1].

Surgery

  • The giant bullae (1-4 cm, giant bullae may occupy 1/3rd of lung tissue) seen in patients of emphysema can compress the surrounding lung tissues and cause compromised ventilation and blood flow to unaffected lung.
  • Bullectomy is the process of removing these bullae and can help these patients as it causes expansion of the compressed lung
  • Patients who are symptomatic and have an FEV1 of less than 50% of the predicted value have a better outcome after bullectomy.
  • Postoperative bronchopleural air leak is the major complication.

References

  1. Mannino DM, Homa DM, Akinbami LJ, Ford ES, Redd SC (2002). "Chronic obstructive pulmonary disease surveillance--United States, 1971-2000". MMWR. Surveillance Summaries : Morbidity and Mortality Weekly Report. Surveillance Summaries / CDC. 51 (6): 1–16. PMID 12198919. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)


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