Postoperative Acute Exacerbation of IPF after Lung Resection for Primary Lung Cancer

Idiopathic pulmonary fibrosis (IPF) is characterized by slowly progressive respiratory dysfunction. Nevertheless, some IPF patients experience acute exacerbations generally characterized by suddenly worsening and fatal respiratory failure with new lung opacities and pathological lesions of diffuse a...

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Main Authors: Atsushi Watanabe, Nobuyoshi Kawaharada, Tetsuya Higami
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2011/960316
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author Atsushi Watanabe
Nobuyoshi Kawaharada
Tetsuya Higami
author_facet Atsushi Watanabe
Nobuyoshi Kawaharada
Tetsuya Higami
author_sort Atsushi Watanabe
collection DOAJ
description Idiopathic pulmonary fibrosis (IPF) is characterized by slowly progressive respiratory dysfunction. Nevertheless, some IPF patients experience acute exacerbations generally characterized by suddenly worsening and fatal respiratory failure with new lung opacities and pathological lesions of diffuse alveolar damage. Acute exacerbation of idiopathic pulmonary fibrosis (AEIPF) is a fatal disorder defined by rapid deterioration of IPF. The condition sometimes occurs in patients who underwent lung resection for primary lung cancer in the acute and subacute postoperative phases. The exact etiology and pathogenesis remain unknown, but the condition is characterized by diffuse alveolar damage superimposed on a background of IPF that probably occurs as a result of a massive lung injury due to some unknown factors. This systematic review shows that the outcome, however, is poor, with postoperative mortality ranging from 33.3% to 100%. In this paper, the etiology, risk factors, pathogenesis, therapy, prognosis, and predictors of postoperative AEIPF are described.
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spelling doaj-art-5ed74cd3aea44f6a9ae9104ff0db25112025-02-03T05:44:55ZengWileyPulmonary Medicine2090-18362090-18442011-01-01201110.1155/2011/960316960316Postoperative Acute Exacerbation of IPF after Lung Resection for Primary Lung CancerAtsushi Watanabe0Nobuyoshi Kawaharada1Tetsuya Higami2Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, JapanDepartment of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, JapanDepartment of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, JapanIdiopathic pulmonary fibrosis (IPF) is characterized by slowly progressive respiratory dysfunction. Nevertheless, some IPF patients experience acute exacerbations generally characterized by suddenly worsening and fatal respiratory failure with new lung opacities and pathological lesions of diffuse alveolar damage. Acute exacerbation of idiopathic pulmonary fibrosis (AEIPF) is a fatal disorder defined by rapid deterioration of IPF. The condition sometimes occurs in patients who underwent lung resection for primary lung cancer in the acute and subacute postoperative phases. The exact etiology and pathogenesis remain unknown, but the condition is characterized by diffuse alveolar damage superimposed on a background of IPF that probably occurs as a result of a massive lung injury due to some unknown factors. This systematic review shows that the outcome, however, is poor, with postoperative mortality ranging from 33.3% to 100%. In this paper, the etiology, risk factors, pathogenesis, therapy, prognosis, and predictors of postoperative AEIPF are described.http://dx.doi.org/10.1155/2011/960316
spellingShingle Atsushi Watanabe
Nobuyoshi Kawaharada
Tetsuya Higami
Postoperative Acute Exacerbation of IPF after Lung Resection for Primary Lung Cancer
Pulmonary Medicine
title Postoperative Acute Exacerbation of IPF after Lung Resection for Primary Lung Cancer
title_full Postoperative Acute Exacerbation of IPF after Lung Resection for Primary Lung Cancer
title_fullStr Postoperative Acute Exacerbation of IPF after Lung Resection for Primary Lung Cancer
title_full_unstemmed Postoperative Acute Exacerbation of IPF after Lung Resection for Primary Lung Cancer
title_short Postoperative Acute Exacerbation of IPF after Lung Resection for Primary Lung Cancer
title_sort postoperative acute exacerbation of ipf after lung resection for primary lung cancer
url http://dx.doi.org/10.1155/2011/960316
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