Closure of BPF by a minimally invasive and economic technique with a fibreoptic bronchoscope.
In four patients of spontaneous BPF following informed consent conventional fob was done and end tidal carbondioxide was measured by connecting a capnograph to a polyethylene catheter passed through the bronchoscopic channel and placed systematically into different bronchi. The presence of BPF was suggested by the absence of capnographic tracing in a particular segment or subsegment by logic of its communication to the atmosphere from the intrcostal tube which was previously disconnected from under water drainage.endobronchial sealing of the selected bronchus was done with n-butyl cyanoacrylate injected through the catheter.confirmation of success was done by finding absence of air bubbling in the under water system with application of positive pressure through an Ambu bag after intubating the patient and inflating the cuff of the tube.
All four patients had immediate closure of fistula and had no recurrence in one year follow up.there was no significant procedure related complication in any of them.
Bronchoscopic endobronchial sealing of selective bronchus is an effective , economic and minimally invasive technique of managing bronchopleural fistula.
Will enable early management of BPF in a simple way.
P. Bhattacharyya, None.