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Pleurodesis by talc poudrage under simple medical thoracoscopy: an international opinion
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  1. J M Tschopp1,
  2. J M Schnyder1,
  3. P Astoul2,
  4. M Noppen3,
  5. M Froudarakis4,
  6. C T Bolliger5,
  7. S Gasparini6,
  8. G F Tassi7,
  9. F Rodriguez-Panadero8,
  10. R Loddenkemper9,
  11. Y Aelony10,
  12. J P Janssen11
  1. 1
    Centre Valaisan de Pneumologie, Montana, Switzerland
  2. 2
    Hôpital Sainte-Marguerite, Marseille, France
  3. 3
    University Hospital UZ Brussels, Brussels, Belgium
  4. 4
    University Hospital Alexandroupolis, Alexandroupolis, Greece
  5. 5
    Tygerberg Academic Hospital, Cape Town, South Africa
  6. 6
    Azienda Ospedali Riunti, Ancona, Italy
  7. 7
    Spedali Civili, Brescia, Italy
  8. 8
    Hospital Universitario Virgen del Rocio Sevilla, Seville, Spain
  9. 9
    Lungenklinik Heckeshorn, Berlin, Germany
  10. 10
    Harbor-UCLA Medical Center, Torrance, California, USA
  11. 11
    Canisius Wilhemina Hospital, Departement of Pulmonary Diseases B01, Nijmegen The Netherlands
  1. Professor J M Tschopp, Centre Valaisan de Pneumologie, CH 3962 Montana, Switzerland; jean-marie.tschopp{at}rsv-gnw.ch

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    We read with interest the editorial by Davies et al1 and were pleased to learn that talc is preferred by most respiratory physicians worldwide as an effective pleurodesing agent. Based on scientific data, the authors recognise that the talc currently used in the UK and USA has serious side effects because of systemic dissemination of small particles. They omitted, however, an important experimental study which used larger talc particles (ie, the talc currently …

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      Authors’ reply
      H E Davies Y C G Lee R J O Davies
      Thorax 2009; 64 274-274 Published Online First: 27 Feb 2009.