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Disorders of the Pleura: Disorders of the Pleura |

Management of Bronchopleural Fistula With the Nutritional Supplement-Juven, Vitamins A, and C, Zinc Gluconate, and Folic Acid

Rajeev Narang, MBBS; Devina Narang, BS; Shreya Narang, BS; George Udeani, Phar
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Corpus Christi Medical Center, Corpus Christi, TX


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):567A. doi:10.1016/j.chest.2016.08.656
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SESSION TITLE: Disorders of the Pleura

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Bronchopleural fistula is a common clinical problem encountered by pulmonologists and CV surgeons. Majority of bronchopleural fistula close by themselves within few days with properly placed tube thoracostomy and suction .Some patient can have persistent leak leading to prolonged hospitization. Surgical options, such as lung stapling, use of fibrin glue administered bronchoscopically and endobronchial valves are sometimes needed to help some of these patient with varying results. Surgical options are expensive and can have significant morbidity and even mortality. We propose using concepts proven to be efficacious in wound healing, can be applied in managing these difficult patients. Nutritional supplements that have been found to be useful in wound healing including juven (an arginine-based amnio acid), vitamin A, vitamin C, zinc gluconate, and folic acid can also be applied in managing these patients.

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