0
Editorials |

Expanding Knowledge of Lung Volume Reduction

Arthur F. Gelb, MD, FCCP; Robert J. McKenna, Jr, MD; Matthew Brenner, MD, FCCP
Author and Funding Information

Drs. Gelb, McKenna, and Brenner have private practices in Lakewood, CA.

Correspondence to: Arthur F. Gelb, MD, FCCP, 3650 E. South St, Suite #308, Lakewood, CA 90712; e-mail: afgelb@msn.com



Chest. 2001;119(5):1300-1303. doi:10.1378/chest.119.5.1300
Text Size: A A A
Published online

Extract

Flaherty and coworkers are to be congratulated for their current article in CHEST (see page 1337) on results following lung volume reduction surgery (LVRS). This surgical intervention, reintroduced by Meyers et al,1 provides palliative treatment for patients suffering from end-stage emphysema who have exhausted best medical and physical rehabilitation therapy. Clinical improvement includes relief from dyspnea and oxygen use with increased exercise tolerance, lung mechanics, and improvement in overall quality of life. The improvement in expiratory airflow and reduction in hyperinflation has been attributed to the increase in lung elastic recoil,23 following resection of the worst emphysematous areas. There is subsequent repositioning of the diaphragm with recruitment of inspiratory muscles of respiration,48 which can now operate more efficiently with increased neuromechanical coupling.8 All of these may be independent of changes in FEV1. However, the physiologic consequences of LVRS remain similar to those of bullectomy.11

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543