Aspects and Complications in Surgery of Cystic fibrosis

Cystic fibrosis (CF) incorporates a variety of pulmonary manifestations that embrace respiratory illness, bronchiectasis, hemoptysis, and pneumothorax. Although newer therapies have greatly improved survival of patients with CF, surgical interventions for definitive treatment of those sequelae are usually needed. Many reports have illustrated that, with this advances within the perioperative treatment and care of CF patients, surgical interventions for these pulmonary manifestations could also be performed safely, leading to a greatly improved quality of life. Also, though enhancements in pulmonary transplantation supply new hope for definitive treatment of those patients with Cystic fibrosis of the pancreas, special issues concerning different surgical problems, comparable to the prevalence of oesophageal reflux, need to be self-addressed.

Although the patient with Cystic fibrosis of the pancreas is mostly at a far bigger risk for the complications of surgery than the conventional patient, expertise within the management of these patients has greatly improved the outlook. However, in most instances, surgical management of the patient with Cystic fibrosis of the pancreas represents palliation, since these patients typically die of the medical complications of their sickness. Any controlled studies are required to totally measure the role of surgery within the sequelas of Cystic fibrosis.

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