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Surveillance Bronchoscopy in Lung Transplantation Recipients: A Single Center Experience Analysis.

Abstract：

:Bronchoscopy with bronchoalveolar lavage and transbronchial biopsy is the gold standard for the diagnosis of infection or acute cellular rejection in lung transplantation (LTx) recipients, but there is some controversy to perform it in asymptomatic patients. We conducted a retrospective analysis of medical reports of LTx recipients who survived in the first year after transplant during the period of August 2003 to February 2018 to evaluate the applicability of this procedure in the management of asymptomatic acute cellular rejection in our center. We assessed 1252 bronchoscopies of 247 patients during this period, and, facing the histopathological results, we defined our management that included conservative or intervention therapy. In our service the information obtained by surveillance bronchoscopy was sufficient to modify the management mainly in the first 2 surveillance bronchoscopies (second and sixth week post LTx). This effect seems to dilute after the second month, making its applicability more questionable.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Takizawa DB,de Castro CCB,Paiva MA,Campos SV,Carraro RM,Costa AN,do Nascimento ECT,Samano MN,de Oliveira Braga Teixeira RH

doi

10.1016/j.transproceed.2020.02.029

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

1380-1383

issue

5

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(20)30252-9

journal_volume

52

pub_type

杂志文章

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