PT - JOURNAL ARTICLE AU - Gupta, Asok Das AU - Maurer, Janet TI - Late-stage emphysema: When medical therapy fails DP - 1999 Jul 01 TA - Cleveland Clinic Journal of Medicine PG - 415--425 VI - 66 IP - 7 4099 - http://www.ccjm.org/content/66/7/415.short 4100 - http://www.ccjm.org/content/66/7/415.full SO - Cleve Clin J Med1999 Jul 01; 66 AB - Although most patients with emphysema are managed medically, a small subset of severely disabled patients may become candidates for surgery. This paper discusses for the internist who works with emphysema patients the risks, benefits, patient selection criteria, and outcome data for three procedures in current use: bullectomy, lung transplantation, and a new procedure which provides an alternative to transplantation—lung volume reduction.