TY - JOUR
T1 - The past, current and future of diagnosis and management of pleural disease
AU - Akulian, Jason
AU - Feller-Kopman, David
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Pleural disease is frequently encountered by the chest physician. Pleural effusions arise as the sequelae of underlying disease processes including pressure/volume imbalances, infection and malignancy. In addition to pleural effusions, persistent air leaks after surgery and bronchopleural fistulae remain a challenge. Our understanding of pleural disease including its diagnosis and management, have made tremendous strides. The introduction of the molecular detection of organism specific infection, risk stratification and improvements in the non-surgical treatment of patients with pleural infection are all within reach and may be the standard of care in the very near future. Malignant pleural effusion management continues to evolve with the introduction of tunneled pleural catheters and procedures combining that and chemical pleurodesis. These advances in the diagnostic and therapeutic evaluation of pleural disease as well as what seems to be an increasing multidisciplinary interest in the space foretell a bright future.
AB - Pleural disease is frequently encountered by the chest physician. Pleural effusions arise as the sequelae of underlying disease processes including pressure/volume imbalances, infection and malignancy. In addition to pleural effusions, persistent air leaks after surgery and bronchopleural fistulae remain a challenge. Our understanding of pleural disease including its diagnosis and management, have made tremendous strides. The introduction of the molecular detection of organism specific infection, risk stratification and improvements in the non-surgical treatment of patients with pleural infection are all within reach and may be the standard of care in the very near future. Malignant pleural effusion management continues to evolve with the introduction of tunneled pleural catheters and procedures combining that and chemical pleurodesis. These advances in the diagnostic and therapeutic evaluation of pleural disease as well as what seems to be an increasing multidisciplinary interest in the space foretell a bright future.
KW - Malignant pleural effusion
KW - Medical thoracoscopy
KW - Rigid thoracoscopy
KW - Semi-rigid thoracoscopy
UR - http://www.scopus.com/inward/record.url?scp=84958631582&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84958631582&partnerID=8YFLogxK
U2 - 10.3978/j.issn.2072-1439.2015.11.52
DO - 10.3978/j.issn.2072-1439.2015.11.52
M3 - Review article
C2 - 26807281
AN - SCOPUS:84958631582
SN - 2072-1439
VL - 7
SP - S329-S338
JO - Journal of Thoracic Disease
JF - Journal of Thoracic Disease
ER -