Our Current Views on The Diagnosis and Treatment of Bronchiectasis

Emin TİRELİ, Semih BARLAS, İlhan AKASLAN, Alper TOKER, Musa RAHİMİ, Enver DAYIOĞLU, Cemil BARLAS

İstanbul Üniversitesi İstanbul Tıp Fakültesi, Göğüs Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul

A total of 163 patients that have been admitted to the Istanbul University, Istanbul Medical Faculty, Thoracic and Cardiovascular Surgery Department with the diagnosis of bronchiectasis have been evaluated. In 49 of these patients, the diagnosis was based on clinical symptoms with chest x-ray, whereas in 114 of these, it was based on computed tomography of he chest. All these patients underwent bronchographic study. When these bronchographies have been evaluated, 71 cystic, 58 cylindirical bronchiectasis were shown in 34 patients, there were no abnormalities in the bronchial tree.

From 129 patients in whom the diagnosis of bronchiectasis was confirmed with bronchography, surgery was indicated in 93. From 114 patients that have undergone computed tomography, in 102 cases cystic or cylindirical bronchiectasis was confirmed but, surgery was indicated only in 79 of those. Clinical symptoms and chest x-ray have shown the some diagnosis in 27 patients, however surgery was indicated in 14 of those.

We have operated 43 of 93 cases with surgical indications. 14 pneumonectomy, 8 upper lobectomy, 15 lower lobectomy and 6 lower bilobectomy have been under taken.

We conclude that although it is generally possible to reach the diagnosis of bronchiectasis with computed tomography, bronchography is still mandatory for indicating surgery in patients with this entity.

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