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Lung Volume Reduction Surgery Tops Rehab for Emphysema
Patients with severe emphysema can achieve considerably greater improvements in bone mineral density (BMD) by undergoing
lung volume reduction surgery than from rehabilitation, according to a new study.
Researchers in Rome, Italy selected, 70 male patients with severe emphysema, who were advised to undergo lung volume
reduction surgery. Forty patients decided to undergo surgery, while the other 30 chose to participate, instead, in a standard
respiratory rehabilitation program.
Patients who underwent surgery experienced significant improvements in respiratory, symptomatic, anthropometric, and
biochemical parameters, whereas patients in rehabilitation experienced a worsening of bone-related hormones and turnover
markers without recovering bone mass. The most significant improvements in BMD were in the 19 patients who underwent surgery
and quit oral steroids.
The 21 other patients who underwent surgery but continued taking oral steroids also experienced improvements with BMD, but to
a lesser degree. Researchers conclude that lung volume reduction surgery is better for improving BMD than rehabilitation,
whether or not the patient continues taking oral steroids. The study appears in the June issue of CHEST, the peer-reviewed
journal of the American College of Chest Physicians.
News briefs from the journal CHEST June 2005
Contact: Jennifer Stawarz
jstawarz@chestnet.org
847-498-8306
American College of Chest Physicians
http://www.chestnet.org
Lung de reducere volum Chirurgie Topuri Rehab de emfizem - Lung Volume Reduction Surgery Tops Rehab for Emphysema - articole medicale engleza - startsanatate