• Journal of Chest Surgery
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• 제6권2호
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• pp.151-158
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• 1973

Author studied the pathogenesis of Sino-bronchiectasis with review of clincal and pathological findings of resected lungs in 24 eases of bronchiectasis,and the results were as follows: 1. Of the 24 eases of bronchiectasis, Sino-bronchiectasis were found in 11 cases and these cases most commonly, developed in first and second decade of life. In a majority of these cases,the main symptoms were the signs of wet bronchiectasis. 2. The typical roentgenograrn changes of plain chest x rays were increase in size and loss of definition of the markings and bronchographically revealed the cylindrical or tubular form in majority of these cases. 3. Pathologically Sino-bronchiectasis involved specific segmental areas of the lungs such as left basal and S4+5 segments and revealed commonly tubular dilatation. The most common findings of bronchial wall of dilated bronchus were the inflammatory cellular infiltration and cylindrical hyperplasia of mucus epithelial layers. 4. It was suspected that there were some causal relations in pathogenesis between chronic sinusitis and bronchiectasis.

• Tuberculosis and Respiratory Diseases
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• 제73권5호
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• pp.249-257
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• 2012

The frequency of diagnosing bronchiectasis is increasing around the world. Cystic fibrosis is the most common inherited cause of bronchiectasis, but there is increasing recognition of significant numbers of patients with bronchiectasis from various causes. With increasing awareness of bronchiectasis, a significant number of research, concerning the causes and treatments, were published over the past few years. Investigation of the underlying cause of bronchiectasis is the most important key to effective management. The purpose of this report is to review the immunological abnormalities that cause bronchiectasis in those that the cystic fibrosis has been excluded, identify the available evidences of current management, and discuss several controversies in the treatment of this disorder.

• Journal of Chest Surgery
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• 제26권8호
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• pp.646-649
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• 1993

Bronchiectasis in infant is very rare. We have experienced an infant who underwent bilobectomy due to bronchiectasis. This patient had immunoglubulin A deficiency, cytomegalovirus infection and recurrent aspiration. We review literatures and present here.

• Journal of Chest Surgery
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• 제17권2호
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• pp.286-291
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• 1984

To assess the correct role of operation in the management of bronchiectasis, two hundred and fifteen patients with bronchiectasis seen at the Thoracic & Cardiovascular Surgery Dept. of Catholic Medical College in Korea between 1972 & 1981 were reviewed and studied the combined disease [Pulmonary tuberculosis, paranasal sinusitis and general nutrition]. The result were as follows: 1.The incidence ratio of male to female was 1.8:1 & the age of second decade occupied 4596 of the total. 2.Bronchiectasis may occur in any lobe, however the vast majority of the cases are occur in dependent portion of the lung - basilar segment of the lower lobes, middle lobe, and lingular segment. Isolated upper lobe bronchiectasis is commonly associated with tuberculosis. 3.The bronchiectasis combined with the paranasal sinusitis was 25 patients [11.6%] in our cases and these occurred usually in both lower lung fields. 4.The average body weight of bronchiectasis patients were about 10 kilogram less than compairing to predicted normal body weight of Korean healthy person.

• Journal of Chest Surgery
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• 제26권11호
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• pp.871-873
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• 1993

Bronchiectasis is an irreversible dilatation that may require surgery for successful treatment. We compared High Resolutional Computed Tomography[HRCT]with Bronchography to access the utility of HRCT in diagnosis and determining the extent of Bronchiectasis. We performed a comparative study of HRCT and Bronchography in 10 consecutive patients who were clinically suspected Bronchiectasis were investigated prospectively during last year.A segment-by-segment analysis of the presence, extent, type of bronchiectasis by Amashita classification was done. In 26 segments, Results of HRCT and Bronchogram were both positve, and 119 segments were both negative.But 15 segments were discorded, in 11 segments in positive bronchogram were negative in HRCT and 4 segments in positive HRCT were negative in bronchogram. The diagnostic concordance rate between 2 modalities was 90.6%[145/160]. So, we will be tried to elevate of concordance rate between 2 modalties and applied HRCT in diagnotic tool for bronchiectasis.

• Tuberculosis and Respiratory Diseases
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• 제86권3호
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• pp.183-195
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• 2023

Bronchiectasis, which is characterized by irreversibly damaged and dilated bronchi, causes significant symptoms, poor quality of life, and increased economic burden and mortality rates. Despite its increasing prevalence and clinical significance, bronchiectasis was previously regarded as an orphan disease, and ideal treatment of this disease has been poorly understood. The European Respiratory Society and British Thoracic Society have recently published guidelines to assist physicians in the clinical field. Guidelines and reports suggest comprehensive management that includes both non-pharmacological and pharmacological treatment. Physiotherapy and pulmonary rehabilitation are two of the most important non-pharmacologic therapies in bronchiectasis patients; long-term inhaled antibiotics and macrolide therapy have gained significant evidence in reducing exacerbation risk in frequent exacerbators. In this review, we summarize recent updates on bronchiectasis treatment to prevent exacerbation and manage clinical deterioration.

• Journal of Chest Surgery
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• 제24권2호
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• pp.217-221
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• 1991

Bronchiectasis is bilateral in approximately 30% of patients. Although the presence of bilateral bronchiectasis was frequently considered a contraindication to surgical resection due to excessive loss of functional pulmonary parenchyma, it is a correct view that the involved broncho-pulmonary segments are functionless and risks to the as yet uninvolved segments and should be removed if the patient`s pulmonary function is tolerable. We report a case of multisegmental bilateral bronchiectasis treated by bilateral simultaneous pulmonary resection through a median sternotomy. Five bronchiectatic segments were resected, which were right middle lobe, anterobasal segment of the right lower lobe, and lingula of the left upper lobe.

• Tuberculosis and Respiratory Diseases
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• 제77권5호
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• pp.209-214
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• 2014

Background: Bronchiectasis and asthma are different in many respects, but some patients have both conditions. Studies assessing the effect of bronchiectasis on asthma exacerbation are rare. The aim of this study is to investigate the effect of bronchiectasis on asthma exacerbation. Methods: We enrolled 2,270 asthma patients who were followed up in our hospital. Fifty patients had bronchiectasis and asthma. We selected fifty age- and sex-matched controls from the 2,220 asthma patients without bronchiectasis, and assessed asthma exacerbation and its severity based on the annual incidence of total asthma exacerbation, annual prevalence of steroid use, and frequency of emergency room visits and hospitalizations due to asthma exacerbation in each group. Results: Fifty patients (2.2%) had bronchiectasis and asthma. The annual incidence of asthma exacerbation was higher in patients with asthma and bronchiectasis than in patients with asthma alone ($1.08{\pm}1.68$ vs. $0.35{\pm}0.42$, p=0.004). The annual prevalence of steroid use ($0.9{\pm}1.54$ vs. $0.26{\pm}0.36$, p=0.006) and the frequency of emergency room visits ($0.46{\pm}0.84$ vs. $0.02{\pm}0.13$, p=0.001) due to asthma exacerbation were also higher in patients with asthma and bronchiectasis than in patients with asthma alone. Conclusion: Bronchiectasis is associated with difficult asthma control.

• Journal of Chest Surgery
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• 제23권4호
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• pp.691-697
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• 1990

We reviewed medical records of 179 patients with bronchiectasis admitted in our department in our department in Pusan Paik Hospital, Inje University from Dec. 1979 to Jun. 1989. Surgical resections were performed in 167 patients [bilateral disease 29, unilateral 138]. To evaluate the results of surgical treatment of bilateral bronchiectasis, it was compared with that of unilateral one. The results were as follows: 1.Bilateral disease was 20.1% of all patients with bronchiectasis. The average age of patients with bilateral disease treated surgically was 28.8 2. There was no significant difference in age, clinical symptoms and disease distribution between bilateral and unilateral bronchiectasis. 3. The numbers of diseased segments in bronchography were 6.86$\pm$2.00 and 4.33$\pm$2.01 in bilateral and unilateral diseases respectively. 4. Six patients underwent bilateral resections, and 25 patients had some of diseased segment [average 2.24$\pm$1.51] after resections, 5. After resections, 48.3% of patients with bilateral disease were free of symptoms and it was less than that in the unilateral one [87%]. But the remaining 51.7% of bilateral disease presented much improved clinical symptoms without aggravation.

• Korean Journal of Radiology
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• 제22권5호
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• pp.811-828
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• 2021

Following the introduction of a novel pathological concept of usual interstitial pneumonia (UIP) by Liebow and Carrington in 1969, diffuse interstitial pneumonia has evolved into UIP, nonspecific interstitial pneumonia (NSIP), and interstitial lung abnormality (ILA); the histopathological and CT findings of these conditions reflect the required multidisciplinary team approach, involving pulmonologists, radiologists, and pathologists, for their diagnosis and management. Concomitantly, traction bronchiectasis and bronchiolectasis have been recognized as the most persistent and important indices of the severity and prognosis of fibrotic lung diseases. The traction bronchiectasis index (TBI) can stratify the prognoses of patients with ILAs. In this review, the evolutionary concepts of UIP, NSIP, and ILAs are summarized in tables and figures, with a demonstration of the correlation between CT findings and pathologic evaluation. The CT-based UIP score is being proposed to facilitate a better understanding of the spectrum of pulmonary fibrosis, from ILAs to UIP, with emphasis on traction bronchiectasis/bronchiolectasis.