The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 5 , Issue 4
Showing 1-50 articles out of 67 articles from the selected issue
  • Type: Cover
    1983 Volume 5 Issue 4 Pages Cover1-
    Published: December 25, 1983
    Released: September 15, 2016
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  • Type: Cover
    1983 Volume 5 Issue 4 Pages Cover2-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
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  • Type: Appendix
    1983 Volume 5 Issue 4 Pages 333-
    Published: December 25, 1983
    Released: September 15, 2016
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  • Type: Index
    1983 Volume 5 Issue 4 Pages 335-336
    Published: December 25, 1983
    Released: September 15, 2016
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  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 337-338
    Published: December 25, 1983
    Released: September 15, 2016
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  • Type: Appendix
    1983 Volume 5 Issue 4 Pages 339-
    Published: December 25, 1983
    Released: September 15, 2016
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  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 341-342
    Published: December 25, 1983
    Released: September 15, 2016
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  • Takateru Izumi
    Type: Article
    1983 Volume 5 Issue 4 Pages 343-350
    Published: December 25, 1983
    Released: September 15, 2016
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    The following results were obtained from an investigation of lymphocytes in bronchoalveolar lavage (BAL) fluid. 1. Various interstitial lung diseases were classified according to determination of which cell, T or B, is more highly activated in BAL fluid. Sarcoidosis, chronic beryllium disease and hypersensitivity pneumonitis were classified as T lymphocyte alveolitis while idiopathic pulmonary fibrosis and interstitial pneumonia associated with collagen vascular disease were classified as B lymphocyte alveolitis. In T lymphocyte alveolitis, it was further determined that activation of macrophages is also mediated by IgG・Fc receptors as measured by phagocytosis and rosette formation. The prognosis of sarcoidosis, one of the T lymphocyte alveolitis group diseases, is related to percentages of activated T cells, and the prognosis of idiopathic pulmonary fibrosis, which belongs to the B lymphocyte alveolitis group, is related to the number of activated B cells and is unrelated to the percentage of activated T cells. 2. Through determination of higher levels of OKT4^+ cells or OKT8^+ cells among T cell subsets in BAL fluid, differentiation between diseases, which are difficult to differentiate through clinical or pathological findings, has been clearly shown in the following diseases : sarcoidosis and hypersensitivity pneumonitis, sarcoidosis and silicosis, and idiopathic pulmonary fibrosis and interstitial pneumonia associated with collagen vascular disease.
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  • Yoshifumi Hosokawa, Masahito Okayasu
    Type: Article
    1983 Volume 5 Issue 4 Pages 351-359
    Published: December 25, 1983
    Released: September 15, 2016
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    The indications and limitations of transbronchial lung biopsy (TBLB) were examined on the basis of an analysis of 100 cases experienced in our department and also of questionnaires obtained from 94 institutes in Japan On the analysis of our 100 cases, a definitive histological diagnosis was obtained with a high rate of accuracy when the lesion was located in parenchyma including alveoli, however, diagnosis was very difficult when the disease mainly involved bronchioles or old lesions. Additionally, the histological appearance was significantly influenced by treatment. It was more frequently possible to make a histological diagnosis was obtained when the number of biopsy specimens was increased. In our experience, at least four biopsy specimens are required for a definitive diagnosis. We sent questionnaires to 148 institutes in Japan, and received 94 replies. It has been suggested that TBLB is useful technique to diagnose diffuse pulmonary diseases, however, the analysis of questionnaires revealed that many institutes have applied this technique for regional and/or solitary lesions. The premedication used varied among the institutes. Fifty-three institutes perform TBLB with tracheal intubation and 41 institutes without intubation. More than 90% of the 94 institutes obtained 3-5 biopsy specimens but the biopsy sites varied. Most frequent complications were pneumothorax and hemorrhage which were experienced by 76.3% and 68.8% of all institutes, respectively. Six cases died following TBLB, four of which due to the massive hemorrage. To prevent these complications, 34 institutes have applied some preventive measure.
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  • Morio Sudo, Atsushi Komuro, Hitoshi Kobayashi, Ataru Daibo, Noriyoshi ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 361-369
    Published: December 25, 1983
    Released: September 15, 2016
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    Bronchoscopy was performed in 50 asthmatic patients and endoscopic findings were correlated with histological findings and electron microscopic findings of bronchial biopsy specimens in 20 cases. Endoscopic findings showed bronchoconstriction, mucous hypersecretion and bronchial edema. These findings were more prominent in patients with asthmatic attacks than those without attack. Histological examinations revealed increased goblet cells, basal cells in the bronchial epithelium and thickening of the basement membrane. It was generally difficult to demonstrate hypertrophy of the smooth muscle and mucous gland, because the biopsy specimens were small. Electron micrographs showed increased secretory granules in goblet cells and mucous glands and thickening of the fibrous layer of the basement membrane. Degranulation of bronchial mast cells showed discharge and dissolution of granules following vacuole formation. The rate of degranulation of bronchial mast cells in asthmatics with attacks was higher than in those without attacks.
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  • Ryuta Amemiya, [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 371-377
    Published: December 25, 1983
    Released: September 15, 2016
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    Nd-YAG laser treatment via the fiberoptic bronchoscope has been performed in cases of malignant and benign airway tumors and stenotic inflammatory lesions. Bronchoscopic Nd-YAG laser treatment procedures were classified into two types ; (1) emergency life-saving procedures, and (2) planned debulking procedures. Each of these types was further classified into subtypes ; (a) with subsequent thoracotomy, and (b) without subsequent thoracotomy. In category (1a), 2 cases of adenoid cystic carcinoma causing marked tracheal stenosis were treated with Nd-YAG laser treatment as emergency procedures. The subsequent improvement in their condition simplified tracheoplasty, anesthesia and postoperative care. (1b) : In addition to one case each of adenoid cystic carcinoma and thyroid gland cancer which were successfully treated, 7 cases of severe tracheal stenosis caused by malignant tumors were treated in emergency procedures and appeared to obtain a short prolongation of survival. However, in a single squamous cell carcinoma case of survival for over a year was obtained. This procedure improved the patients' ventilation sufficiently so that radiotherapy can be performed. (2a) : In 8 malignant cases and 1 benign case debulking was performed before thoracotomy in order to decrease the area to be resected. However, in most cases it was not possible to significantly decrease the area to be resected. (2b) : 31 malignant inoperable cases were treated by debulking as a local adjuvant modality in combination with radiotherapy and chemotherapy. Evaluation of the effect of this procedure in terms of prognosis suggested that this treatment was indicated in about 50% of cases. In 12 cases of cicatricial stenotic lesions were also indicated which showed cicatrization without inflammation. This procedure may have potential as a single radical therapeutic modality in central type early stage lung cancer and benign tumors. Further improvement in instrumentation is required for this procedure. It is important to carefully evaluate the indications, remembering it is not indicated unless the lung parenchyma distal to the stenotic or obstructive lesion is viable.
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  • Satoshi Kitamura
    Type: Article
    1983 Volume 5 Issue 4 Pages 379-384
    Published: December 25, 1983
    Released: September 15, 2016
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    Fiberoptic bronchoscopy has been applied for the diagnosis and therapy of various pulmonary diseases. This paper describes intrabronchial instillation of therapeutic agents through the fiberoptic bronchoscope. In patients with aspiration pneumonia we performed broncho-alveolar lavage using saline and administered corticosteroid and antibiotics. Six of 8 patients showed improvement. We also successfully treated 14 patients with chronic bronchitis and bronchiectasis whose chief complaint was hemoptysis, by instilling thrombin solution into the affected bronchus via a polyethylene tube inserted through the fiberoptic bronchoscope. In all of 14 patients hemoptysis disappeared immediately after the instillation of thrombin solution. Another group of 29 patients who suffered from hemorrhage induced by TBLB, bronchial mucous membrane biopsy or local injection of anticancer drugs, was successfully treated by instillation of thrombin solution. Twenty-two patients with primary lung cancer were treated by injecting several anti-cancer drugs directly into the intrabronchial tumors and all of 22 patients showed an improvement.
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  • Rokuro Matsuoka, Hiroshi Takagi, Shiro Kira
    Type: Article
    1983 Volume 5 Issue 4 Pages 385-392
    Published: December 25, 1983
    Released: September 15, 2016
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    Pulmonary alveolar proteinosis is a disease of unknown etiology characterized by the accumulation of proteinaceous material in the alveolar spaces. The aim of treatment in this disease is to facilitate the removal of proteinacious material from alveolar spaces. To accomplish this aim, we carried out lung lavage in 4 patients of alveolar proteinosis using the following three methods ; 1. selective unilateral lung lavage under general anesthesia, 2. simultaneous bilateral lung lavage with an extacorporeal membrane oxygenator, and 3. serial segmental broncho-alveolar lavage under local anesthesia with a bronchofiberscope, and compared their removal effect clinically, testing changes of chest X-ray findings, pulmonary function studies and arterial blood gas analysis. In Case 1, the three methods mentioned above were serially carried out during a 6 year period. In Case 2, method 3 was performed following treatment with method 2. In Cases 3 and 4, bronchoalveolar lavage with bronchofiberscope was repeated serially. The effect of treatment was satisfactory and essentially similar among these three methods. Therefore, it is preferable to select lung lavage with the bronchofiberscope as the treatment of first choice from the viewpoint of cost-effectiveness, its easy applicability and the disease characteristics of reaccumulation of proteinaceous material in alveolar spaces, although methods 1 and 2 are indispensable in the treatment of severely ill cases of this disease.
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  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 393-394
    Published: December 25, 1983
    Released: September 15, 2016
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  • Etsuo Nemoto
    Type: Article
    1983 Volume 5 Issue 4 Pages 395-396
    Published: December 25, 1983
    Released: September 15, 2016
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    The contribution of bronchial and pulmonary arteries to local bronchial circulation was serially examined by color-coded silicone rubber injection in dogs to investigate the process of bronchial healing following bronchoplastic reconstruction. Tissue PO_2 of the anastomotic site was also observed using an intravascular PO_2 sensor. In group I, bronchoplasty was performed with the bronchial arteries preserved. In group II, bronchial arteries were ligated or dissected, and the effects of bronchial wrapping by a silicon film or with a free pleural flap on the anastomosis were studied. Restoration of bronchial circulation following bronchoplastic procedure was studied in terms of recovery in microcirculation and oxygenation at the site of anastomosis. Bronchial wrapping did not improve the healing at the site of bronchial anastomosis. Preserving bronchial arteries was very important for local bronchial circulation after bronchoplasty.
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  • Yahiro Kotake, Masazumi Maeda
    Type: Article
    1983 Volume 5 Issue 4 Pages 397-402
    Published: December 25, 1983
    Released: September 15, 2016
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    Twenty four cases of upper airway stenosis were examined and the following findings were obtained, based on the results of pulmonary function in these cases. 1) Convexity of the descending curve was observed on the maximum expiratory flow volume loop due to a flow plateau phenomenon and reduction of the peak expiratory flow rate. 2) In case with a peak expiratory flow rate of less than 6.4 1/sec airway stenosis or obstruction should be suspected, although it is impossible to state whether upper or lower airways are imvolved. 3) Upper airway stenosis should be strongly suspected in cases with a peak expiratory flow rate less than 6.4 1/sex. and an S index of the descending curve below zero. 4) The O.I. index is useful as a more convenient parameter than the S index.
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  • Toshihiko Taki, Takashi Teramatsu
    Type: Article
    1983 Volume 5 Issue 4 Pages 403-408
    Published: December 25, 1983
    Released: September 15, 2016
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    Tracheobronchomalacia is mostly overlooked and treated as drug-resistant asthma, because of their symptomatic similarities. We established diagnostic criteria after a statistical analysis of tracheal diameter of healthy Japanese and obtaining the correlation between tracheal diameter and body height. Autopsy studies revealed that the tracheal cartilage was atrophied and fragmented. Primary treatment should be conservative, but in severe cases with total tracheal collapse during coughing and syncope attack, surgical treatment can be effective. The method of operation of Nissen (1954), which is called spanplasty, is commonly done. We surgically treated 6 cases with this method and obtained satisfactory results.
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  • Shigefumi Fujimura, Eiichi Akaogi, Sumio Nitta, Tasuku Nakada, Michiak ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 409-415
    Published: December 25, 1983
    Released: September 15, 2016
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    Tracheal and bronchial reconstruction was performed in 13 patients after traumatic injury. They included 4 patients with tracheal injury due to blunt chest trauma, 4 with post-intubation tracheal stenosis and 5 with bronchial injury due to blunt chest trauma. The pathogenesis, clinical presentation, diagnosis, management and postoperative complications are discussed. From our experience it was difficult to diagnose disruption of main bronchi or intrathoracic trachea immediately after blunt chest trauma except in 2 case with complete disruption of the cervical or lower thoracic trachea, which was thought to be attributed to complications outside the tracheobronchial tree. The usual signs of tracheobronchial disruption were subcutaneous and mediastinal emphysema, dyspnea and hemoptysis. Thus it is quite important first to perform bronchofiberscopy in patients showing these signs in order to maintain the airway. A patient with complete disruption of the lower trachea just above the tracheal carina underwent emergency surgery and was intubated with a Robert-Shaw tube into the left main bronchus via the bronchofiberscope with success. Early surgical intervention is advantageous in the treatment of tracheobronchial disruption, however, delayed reconstructive surgery seems to be safe if there are no infectious lesions near the site of the injury. Tears of the mid and lower trachea are best approached through a right posterolateral thoracotomy. Diseases of the upper trachea are approached by cervico-mediastinal approach with partial resection of the clavicula, first and second ribs and sternum. Postoperative complications of tracheobronchial reconstruction are strongly influenced by the appearence of infection, which caused disruption and granulomatous formation on anastomotic site. We experienced 2 cases of such complications after tracheal reconstruction. Three of 5 patients with bronchial anastomosis showed transient re-expansion pulmonary edema for a few hours during the early postoperative period. This complication should be kept in mind in patients with long-term atelectasis.
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  • Yoh Watanabe, Hideo Sato, Shigeho Iida, Hiroaki Kobayashi, Tetsuji Yam ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 417-424
    Published: December 25, 1983
    Released: September 15, 2016
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    Inflammatory stricture of the tracheobronchial tree is relatively rare incidence compared with that caused by neoplasm. In contrast to neopastic air way strictures, there are several unresolved problems concerning the reconstructive surgery of the inflammatory stricture, such as operative indication, time of operation, extent of resection, or operative procedure. Clinical analysis was done regarding the cases undergone reconstructive surgery, the cases undergone extensive resection, and the cases without surgical intervention. During the past ten years there were twelve cases of air way inflammatory stricture, 4 of the trachea and 8 of the bronchus. The etiology was nonspecific inflammation in five cases and tuberculous inflammation in seven. The former included two cases of posttracheostomy stricture and three cases of stricture caused by granulation formation after tracheobronchial reconstruction. For the two cases of posttracheostomy stricture at the stoma and tube tip levels, tracheal reconstruction was performed after resection of two and three cartilage rings, respectively. Among the three cases of strictures caused by granulation formation after reconstructive surgery, forceps resection and electrosurgery were successful in two cases, however in one case endoscopic treatment failed and rereconstructive surgery was performed with satisfactory results. Recently the incidence of iatrogenic air way strictures is increasing. Since endoscopic excision by methods including biopsy forceps removal, electrosurgery or cryosurgery, limited can provide satisfactory results only in cases of stricture, reconstructive surgery is indicated in most cases. Of the seven cases of tuberculous strictures, the right upper bronchus was involved in three cases, the main and right upper bronchus in one case, and the left main bronchus in three cases. These strictures were mostly induced by cicatricial formation by nonspecific granular tissue after healing of tuberculous bronchitis by cicatricial anti-tuberculous treatment. For the three cases of cicatricial stricture confined to the orifice of the right upper bronchus with no evidence of inflammatory changes of the main bronchus verified by bronchoscopic biopsies, right upper lobes containing tuberculous cavities were resected without any postoperative complication. However, the case of right upper bronchus obstruction with inflammatory changes in the main bronchus underwent sleeve upper lobectomy by resecting the right main bronchus with concomitant dissection of the tuberculous lymph nodes compressing, the wall of the main bronchus. One case developed atelectasis of the entire left lung due to cicatricial occlusion of the main bronchus during antituberculous treatment, pneumonectomy was inevitable, for the whole lung tissue were replaced by the irreversible cystic bronchiectasis occurring secondarily to the bronchial obstruction. In addition tubercles in the lung parenchyma were scarce. There are two cases under observation with non-symptomatic localized strictures in the left main bronchus caused by cicatricial formation after treatment of tuberculous bronchitis. Because of experience with the above-mentioned cases undergoing pneumonectomy, periodical observations and biopsies are performed for these cases with intermittent examination of perfusion and ventilation scans to evaluate operability. We are considering bronchoplastic surgery if symptoms are getting clear in the future.
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  • Masayoshi Kuwabara, Satoshi Kosaba, Osamu Ike, Yuji Yasuda, Minoru Aok ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 425-431
    Published: December 25, 1983
    Released: September 15, 2016
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    Eight patients underwent tracheal resections and tracheal sleeve pneumonectomy during the years 1979 through 1983. In 7 patients, the reconstruction of the trachea and carina was performed with Neville's prosthesis. In one patient, undergoing right sleeve pneumonectomy, the carinal reconstruction was performed with Katsura's flexible prosthesis. Four patients had squamous cell carcinoma. In 3 patients, the tumor arose from the right main bronchus to the carina. In one patient who had undergone a previous right pneumonectomy, tracheal stenosis occured because of lymphnode metastasis. Two patients had adenocystic carcinoma of the trachea. One patient had large cell carcinoma of the carina and one had tuberculous granuloma of the carina. During the postoperative courses, sputum was not observed inside the prosthesis in any patient. However, in 4 patients granulation formation was observed at the anastomotic site of the prosthesis. These granulations were completely removed by Nd-YAG Laser vaporization. Four patients survived more than 1 year and one patient is still alive 31 months postoperatively. Causes of death were prosthetic migration, suture insufficiency caused by infection and massive hemoptysis due to fistula at the anastomotic line between the trachea and innominate artery. The problem of the prosthesis is the anastomotic line between the trachea and prosthesis, i.e., its "interface". We must make efforts to develop the ideal prosthesis, which is accepted by the host and causes no granulation.
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  • Tsuguo Naruke, Keiichi Suemasu, Takeshi Yoneyama, Naoto Miyazawa, Ryos ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 433-439
    Published: December 25, 1983
    Released: September 15, 2016
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    Sixty-four patients with lung cancer underwent bronchoplastic surgery in our institute from September, 1965 to Dec., 1982. The post surgical stages of disease were as follows : 8 cases of Stage I disease, 7 cases of Stage II, 45 cases of Stage III, 4 cases of Stage IV. The bronchoplastic surgery performed included sleeve resection combined with lobectomy in 46, wedge resection combined with lobectomy in 13, reconstruction of the lower area of the trachea in 5, bronchial sleeve resection combined with pulmonary artery resection in 6 and bronchial wedge resection combined with pulmonary artery resection in 2. There was one case of operative mortality within 30 days after the operation. To prevent postoperative complications, careful techniques are required in suturing and postoperative bronchoscopic suction of intrabronchial secretion is necessary. The use of Dexon or Dexon S, polyglycolic acid sutures, showed good results. Adjuvant therapies were performed on 44 cases, including preoperative infusion of Mitomycin C into the bronchial arteries or postoperative irradiation or both. Twenty-eight of 64 were alive and well from 7 months to 17 years after the operations. The relative 5 year survival rates were 35.4 per cent in total cases and 39.9 per cent in those with squamous cell carcinomas. The prognosis of patients undergoing bronchoplasty was compared with that of patients undergoing lobectomy and pneumonectomy. there was a statistical difference between bronchoplasty and pneumonectomy.
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  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 441-442
    Published: December 25, 1983
    Released: September 15, 2016
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  • Hiroshi Kawada
    Type: Article
    1983 Volume 5 Issue 4 Pages 443-448
    Published: December 25, 1983
    Released: September 15, 2016
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    105 outpatients with hemoptysis and 170 patients with hemoptysis examined by fiberoptic bronchoscopy were studied. Most of the causes of hemoptysis were upper respiratory infection, primary lung cancer, chronic bronchitis, lung tuberculosis, bronchiectasis and valvular heart disease. 34 cases out of 92 cases of lung cancer were accompanied by hemoptysis. There was no difference in terms of incidence of hemoptysis between squamous cell carcinoma and adenocarcinoma. Four cases of lung cancer with lethal massive hemoptysis were reviewed. The causes were bronchopulmonary fistula, cardiac involvement, pulmonary artery involvement and massive infiltration of the bronchial wall. Four cases of non-malignant diseases with lethal massive hemoptysis were also reviewed. They consisted of embolectomy for pulmonary embolism, aortitis syndrome, acquired valvular disease and pseudoaneurysm of the descending aorta. In the case of an acquired valvular disease, striking bronchial venous engorgement was recognized by bronchoscopy and necropsy. Lethal massive hemoptysis in this case was thought to be due to rupture of the bronchial vein.
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  • Masahiko Kaneko, [in Japanese], [in Japanese], [in Japanese], [in Japa ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 449-454
    Published: December 25, 1983
    Released: September 15, 2016
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    Examination by a bronchofiberscope (BFS) is considered to be a safe procedure, and it is performed in many institutes at present. In spite of this, our research revealed that 18 patients throughout the country have died of complications, 11 of them from hemorrhage from the respiratory tract. The primary point in the prevention of hemorrhage is to avoid unnecessary biopsies, and the second point is to aspirate any blood immediately after biopsy. Even a small amount of bleeding may become the cause of a cough when it flows into the contralateral bronchus, possibly inducing new hemorrhage. Therefore, the possible presence of bleeding should be confirmed immediately after biopsy, rapid aspiration must be performed, even if only a small amount of blood is present. When treating massive hemorrhage, the respiratory tract of the non-hemorrhagic side should be primarily secured ; as much blood as possible should be aspirated by laying the patient on the a tracheal tube beforehand. When a small amount of bleeding is present in the range of visibility, the site should be compressed by the BFS and epinephrine should be sprayed on the site. When there is a small amount of bleeding from the periphery, tamponade of the bronchus by the BFS or catheter should be undertaken, and thrombin solution should be injected. Since biopsy by a BFS is always accompanied by bleeding, all equipment and drugs should be prepared and ready to use prior to starting the examination.
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  • Ohmi Takagi, Yuko Kohda, Kimiyo Yamazaki, Kazuhisa Sakamoto, Tomohisa ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 455-464
    Published: December 25, 1983
    Released: September 15, 2016
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    Fibrinogen and thrombin infusion therapy was performed for bronchial bleeding with a fiberoptic bronchoscope. It was effective experimetally and clinically. By means of animal models of bronchial bleeding, we compared with thrombin infusion therapy. In cases of TBB, bleeding stopped in 196±40 seconds, and rebleeding did not occur. In cases of TBLB, bleeding stopped in 240±75.5 second, and rebleeding was seen in one case. This method is simple, safe, and effective in controlling bronchial bleeding.
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  • K. Nakamura, [in Japanese], [in Japanese], [in Japanese], [in Japanese ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 465-468
    Published: December 25, 1983
    Released: September 15, 2016
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    After treatment of hemoptysis in 62 patients including 36 with massive hemoptysis with use of bronchial arterial embolization, recurrent hemoptysis was noted in 14 cases during the period of 1978 through 1983. Repeated bronchial arteriogram was taken in 22 cases (32 instances) with (15) or without (7) symptom of hemoptysis. Recannalization of the occluded systemic artery was found in most cases (30/31 instances) more than two weeks after embolization. From these facts bronchial arterial embolization is to be thought as a transient treatment of massive hemoptysis. On the other hand, eleven surgical cases in the series show that the embolization of systemic artery before surgery allows elective surgery rather than emergent one and makes the operation safe through cessation of intrabronchial bleeding before and during the surgery. (Author's)
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  • Hideki Ichimura, Takeo Mizuno, kazuo Shibata, Yosuke Yamakawa, Hironor ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 469-474
    Published: December 25, 1983
    Released: September 15, 2016
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    Bronchial arterial embolization (BAE) was performed in 10 out of 13 patients with massive hemoptysis. Hemostasis was achieved in 7 patients during periods of 3 months to 2 years and 9 months. In the remaining 3 patients, 2 patients suffered recurrence of hemoptysis I week after BAE and in the other hemostasis was not achieved. It was suggested that cases which received transpleural systemic blood supply via pleural adhesion would suffer relapse in a short period of time. Bronchial arteriography before embolization may occasionally be valuable to identify the etiology and location of the site of the hemorrhage. We suggested that this therapeutic procedure is a useful approach in patients with 1) minimal or undiagnosable disease, 2) life-threatening hemorrhage.
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  • Kazumitsu Ohmori, Masaaki Ohata, Mitsuo Narata, Mamoru Iida, Akitoshi ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 475-481
    Published: December 25, 1983
    Released: September 15, 2016
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    Massive hemoptysis has an ominous prognosis in medical treatment. We have treated 9 cases of massive hemoptysis (500 ml or more in 24 hours). There were 6 males and 3 females in the series. The ages ranged from 26 to 61 years with an average of 49 years. Pulmonary tuberculosis was the cause of bleeding in 2 patients, bronchoectasis in 2, hemangioma in 2, lung abscess in 1, subclavian artery-pulmonary arterial fistula in 1 and no causative disease was found in 1. In 8 cases pulmonary resection was carried out with no operative death. In 7 cases preoperative bronchoscopy revealed the location of the bleeding site in 5 cases. In 7 cases preoperative angiography was carried out, and in 3 cases bronchial arterial hypervascularity was noted. Double lumen tracheal tubes were used in 7 cases to control intraoperative bleeding into the dependent lung. Lobectomy was performed in all cases. There were no significant postoperative complications and the prognosis was satisfactory. Our experience confirmed that pulmonary resection is the beat treatment for patients with massive hemoptysis as compared with conservative management.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 483-486
    Published: December 25, 1983
    Released: September 15, 2016
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  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 487-488
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 489-
    Published: December 25, 1983
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 490-
    Published: December 25, 1983
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 490-
    Published: December 25, 1983
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 490-491
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
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  • [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 491-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 491-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (174K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 491-492
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
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  • [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 492-
    Published: December 25, 1983
    Released: September 15, 2016
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  • [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 492-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (148K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 493-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (258K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 493-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (258K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 493-494
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (379K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 494-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (173K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 494-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (173K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 494-495
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (295K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 495-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (174K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1983 Volume 5 Issue 4 Pages 495-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (174K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1983 Volume 5 Issue 4 Pages 495-496
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (456K)
  • Type: Appendix
    1983 Volume 5 Issue 4 Pages 496-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (252K)
  • Type: Appendix
    1983 Volume 5 Issue 4 Pages 496-
    Published: December 25, 1983
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (252K)
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