What are the indications for surgical intervention of bronchiectasis?

Updated: Jul 23, 2019
  • Author: Ethan E Emmons, MD; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

In general, surgery should be reserved for patients who have focal disease that is poorly controlled by antibiotics. The involved bronchiectatic sites should be completely resected for optimal symptom control. Other indications for surgical intervention may include the following:

  • Reduction of acute infective episodes

  • Reduction of excessive sputum production

  • Massive hemoptysis (Alternatively, bronchial artery embolization may be attempted for the control of hemoptysis.)

  • Foreign body or tumor removal

  • Consideration in the treatment of MAC or Aspergillus species infections


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