Diagnostic utility and complications of flexible fiberoptic bronchoscopy in Assiut University Hospital: A 7-year experience

Mohamed, Sherif; Metwally, Mohamed; El-Aziz, Nashwa M. A. Abd; Gamal, Yasser

doi:10.1016/j.ejcdt.2013.07.011

Cited by 10 publications

(8 citation statements)

References 15 publications

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“…FB was performed more commonly in males, consistent with previous studies. [ 10 12 13 ] However, there was a gradual increase in the proportion of females undergoing flexible bronchoscopies over the past three decades (23.9% in period I to 30.4% in period III). This is likely due to an increasing awareness and literacy amongst women along with more equitable distribution of health care facilities.…”

Section: Discussionmentioning

confidence: 99%

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Indications for performing flexible bronchoscopy: Trends over 34 years at a tertiary care hospital

et al. 2015

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Background and Aim:Due to its easy maneuverability, patient comfort and documented safety as an outpatient procedure, flexible bronchoscopy (FB) has replaced rigid bronchoscopy for routine diagnostic use. Herein, we report our 34-year experience with outpatient performance of FB.Materials and Methods:This was a retrospective analysis of all FB procedures performed between September 1979 and November 2013 (period I: 1979-1990; period II: 1991-2000; period III: 2001-2013) in a tertiary care hospital. Demographic profile of patients, indications for performing FB, and annual and seasonal trends were noted from the records.Results:A total of 24,814 bronchoscopies were performed during the study period. The mean (SD) age of patients (71.6% males) was 48.4 (15.5) years. The number of procedures performed per decade showed an absolute increase by 322%. The most common indication for FB was suspected bronchogenic carcinoma (32.2%) followed by pulmonary infections (18.6%) and interstitial lung diseases (13%). The proportion of annual cases due to interstitial lung diseases (3.9% in period I to 16.2% in period III) increased over the years, whereas disorders such as hemoptysis and pleural effusion showed a declining trend as an indication for FB. A seasonal trend was observed for diseases such as sarcoidosis, bronchogenic carcinoma and pulmonary infections. Six deaths were encountered during the study period in patients undergoing FB.Conclusion:FB is increasingly being performed in the diagnosis of respiratory disorders and is a safe outpatient procedure. Although bronchogenic carcinoma remains a common indication for performing FB, benign conditions such as pulmonary infections and sarcoidosis constitute important indications in the Indian scenario.

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Section: Discussionmentioning

confidence: 99%

“…This is also consistent with previous studies in which bronchogenic carcinoma formed the commonest indication for FB. [ 10 12 13 ] In one study of 429 patients, bronchogenic carcinoma was an indication in about 45.5% of cases undergoing FB. [ 12 ] There has been an increase in the incidence of lung cancer in India in the last few decades.…”

Section: Discussionmentioning

confidence: 99%

Indications for performing flexible bronchoscopy: Trends over 34 years at a tertiary care hospital

et al. 2015

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“…[12] Bronchoscopy Normal vocal cords (92.1%) were seen in majority. Abnormalities included fixed left fixed cord (6.9%) and nodule on left vocal cord (2.0% 14 diagnostic utility of FOB to be 67%.…”

Section: Resultsmentioning

confidence: 99%

Role of Flexible Video Bronchoscopy in Diagnosis of Pulmonary Lesions

More¹

2017

jmscr

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“…Minor complications include bronchospasm, epistaxis, and laryngospasm, whereas major complications include pulmonary hemorrhage, pneumothorax, and respiratory failure. 12 Thoracotomy is indicated in rare cases in which foreign bodies cannot be removed through a bronchoscopy. The prolonged presence of an unidentified FB can lead to chronic lung problems, asthma like symptoms, recurrent pulmonary infections, atelectasis, and bronchiectasis.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration: A Life-Threatening Situation

Lalani¹

2015

Journal of PeriAnesthesia Nursing

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Diagnostic utility and complications of flexible fiberoptic bronchoscopy in Assiut University Hospital: A 7-year experience

Cited by 10 publications

References 15 publications

Indications for performing flexible bronchoscopy: Trends over 34 years at a tertiary care hospital

Indications for performing flexible bronchoscopy: Trends over 34 years at a tertiary care hospital

Role of Flexible Video Bronchoscopy in Diagnosis of Pulmonary Lesions

Foreign Body Aspiration: A Life-Threatening Situation

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