Background: In order to access the role of ballooning in patients with post‐tuberculosis bronchial stenosis (PTBS), medical records of patients who underwent the procedure were reviewed. Methods: Twenty‐nine PTBS patients underwent balloon dilatation between May 1999 and November 2000 at Samsung Medical Center. The median age was 28 (range 16∼62 year) and most patients were female (n=27, 93%). The mean number of ballooning procedures was 2.4 (range 1∼8) and the interval between ballooning procedures was 76.2±69.7 days. Results: In general, the FEV1 was improved after ballooning (from 66.2.±11.9% predicted to 73.5±13.0% predicted, p=0.0004). Among 29 patients who underwent ballooning, a clinically successful outcome was observed in 16 patients (55%). Comparison between the successful and unsuccessful groups showed that favorable factors for a successful outcome were a higher pre‐ballooning FEV1 (71.1±8.1 vs. 60.2±13.3% predicted), higher post‐ballooning FEV1 (89.2±7.8 vs. 63.4±9.2% predicted) and absence of left upper lobe collapse. The clinical outcome was unsuccessful in all eight patients with a pre‐ballooning FEV1 ≤57% of predicted or with complete left upper lobe collapse. Conclusion: In conclusion, ballooning appears to be helpful in patients with PTBS, especially when the preballooning FEV1 >57% of predicted and there is no complete left upper lobe lung collapse.
Chung HS, Lee JH. Bronchoscopic assessment of the evolution of endobronchial tuberculosis. Chest 2000;117:385-92.
Kim YH, Kim HT, Lee KS, Uh ST, Cung YT, Park CS. Serial fiberoptic bronchoscopic observations of endobronchial tuberculosis before and early after antituberculosis chemotherapy. Chest 1993;103:673-7.
Kurasawa T, Kuze F, Kawai M, Amitani R, Murayama T, Tanaka E, et al. Diagnosis and management of endobronchial tuberculosis. Intern Med 1992;31:593-8.
Kim Y, Lee KS, Yoon JH, Chung MP, Kim H, Kwon OJ, et al. Tuberculosis of the trachea and main bronchi: CT findings in 17 patients. AJR Am J Roentgenol 1997;168:1051-6.
Shim YS. Endobronchial tuberculosis. Respirology 1996;1:95-106.
Albert RK, Petty TL. Endobronchial tuberculosis progressing to bronchial stenosis: fiberoptic bronchoscopic manifestations. Chest 1976;70:537-9.
Smith JL, Elliott CG, Schmidt CD, Flinner RL. Bronchial stenosis: a complication of healed endobronchial tuberculosis. West J Med 1986;144:361-2.
Cohen MD, Weber TR, Rao CC. Balloon dilatation of tracheal and bronchial stenosis. AJR Am J Roentgenol 1984;142:477-8.
Fowler CL, Aaland MO, Harris FL. Dilatation of bronchial stenosis with Gruentzig balloon. J Thorac Cardiovasc Surg 1987;93:308-9.
Kim H. Stenting therapy for stenosing airway disease. Respirology 1998;3:221-8.
Lee KH, Ko GY, Song HY, Shim TS, Kim WS. Benign tracheobronchial stenoses: long-term clinical experience with balloon dilation. J Vasc Interv Radiol 2002;13:909-14.
Lee KW, Im JG, Han JK, Kim TK, Park JH, Yeon KM. Tuberculous stenosis of the left main bronchus: results of treatment with balloons and metallic stents. J Vasc Interv Radiol 1999;10:352-8.
Nakamura K, Terada N, Ohi M, Matsushita T, Kato N, Nakagawa T. Tuberculous bronchial stenosis: treatment with balloon bronchoplasty. AJR Am J Roentgenol 1991;157:1187-8.
Carlin BW, Harrell JH 2nd, Moser KM. The treatment of endobronchial stenosis using balloon catheter dilatation. Chest 1988;93:1148-51.
Chhajed PN, Malouf MA, Glanville AR. Bronchoscopic dilatation in the management of benign (non-transplant) tracheobronchial stenosis. Intern Med J 2001;31:512-6.
Han JK, Im JG, Park JH, Han MC, Kim YW, Shim YS. Bronchial stenosis due to endobronchial tuberculosis: successful treatment with self-expanding metallic stent. AJR Am J Roentgenol 1992;159:971-2.
Kim W, Lee YC, Rhee YK. Obstruction after self-expanding metallic stents in tuberculous bronchial stenosis. Korean J Intern Med 1995;10:64-7.