Bronchoscopy interventional

The use of molecular genetic markers [7], autofluorescence bronchoscopy (AFB) [15], etc. in combination with minimally invasive therapy such as intraluminal bronchoscopic treatment (IBT) [10] may provide clinicians with new modalities for early intervention. Smoking related morbidities such as emphysema and poor... 

We have calculated the cost of AFB-LIFE bronchoscopy for early detection in the target population consisting of individuals with previously resected stage I-II lung and head and neck cancers, and those with positive sputum cytology. Twenty-one lesions have progressed to cancer so far (171 dysplastic lesions and 429 bronchoscopies). The tariff of one bronchoscopy examination in the Netherlands is 81. The endoscopic cost for early detection per cancer lesion was 1653. Treatment with electrocautery was 380 [10]. The costs for early bronchoscopic intervention per ESSCC was 2033. 

T. Vo-Dinh, P.N. Mathur (2000). Optical diagnostic and therapeutic technologies in pulmonary medicine. In C.T. Bolliger, P.N. Mathur (Eds), Interventional bronchoscopy. Prog. Respir. Res. (Vol. 30, pp. 267-279). Basel, Karger. 

This chapter focuses on the insertion technique for metallic covered and uncovered stents. For placement of plastic tube stents (like the Montgomery, Dumon, or Dynamic Stent) special introductory systems and rigid bronchoscopy are required. These stents are usually placed by experienced interventional bron-choscopists. The interested reader might refer to one of the review articles on interventional bronchoscopy (SoNETT et al. 1995 Beamis and Mathur 1999 Mehta and Dasgupta 1999 Wood 2001). 

Becker H. History of the rigid bronchoscope. In Bollinger CT, Mathur PN, eds. Interventional Bronchoscopy. Vol. 30. Basel Karger, 2000 2-15. 

Utzig MI, WarzeUian J, Wertzel H, et al. Role of thoracic surgery and interventional bronchoscopy in Wegener s granulomatosis. Ann Thorac Surg 2002 74(6) 1948-1952. 

Scheduled bronchoscopies are performed routinely during the first year after transplantation at most transplant centres. Inspection of the anastomotic sutures, control of anastomotic wound healing, BAL with microbiologic cultures and transbronchial biopsies are taken to document lung tissue quality and to diagnose acute or chronic lung rejection, invasive infections and eventually to perform interventional procedures such as dilatation or stenting of bronchial stenosis. 

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