Endoscopic ultrasound in mediastinal tuberculosis

Sharma, Malay; Ecka, Ruth Shifa; Arumugam, Somasundaram; Shoukat, Abid; Kirnake, Vijendra

doi:10.4103/0970-2113.177451

Cited by 16 publications

(16 citation statements)

References 34 publications

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“…Transesophageal endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) provides access to inferior mediastinum, left paratracheal area and aorto-pulmonary window and is now considered a complementary technique to EBUS-TBNA in diagnosing and staging non small cell lung cancer (Vilmann et al, 2015). Its utility has also been confirmed in diagnosing intrathoracic TBLA (Sharma et al, 2016;Fritscher-Ravens et al, 2011;Puri et al, 2010). In recent years, the transesophageal approach has also been successfully performed with an ultrasound bronchoscope, by a trained pulmonologist (Mondoni et al, 2015).…”

Section: Ablative Techniques In Tuberculosis Patients With Endobronchmentioning

confidence: 99%

Bronchoscopic techniques in the management of patients with tuberculosis

Mondoni

Repossi

Carlucci

et al. 2017

International Journal of Infectious Diseases

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Tuberculosis (TB) is one of the leading causes of morbidity and mortality worldwide. Early diagnosis and treatment are key to prevent Mycobacterium tuberculosis transmission. Bronchoscopy can play a primary role in pulmonary TB diagnosis, particularly for suspected patients with scarce sputum or sputum smear negativity, and with endobronchial disease. Bronchoscopic needle aspiration techniques are accurate and safe means adopted to investigate hilar and mediastinal lymph nodes in cases of suspected TB lymphadenopathy. Tracheobronchial stenosis represents the worst complication of endobronchial tuberculosis. Bronchoscopic procedures are less invasive therapeutic strategies than conventional surgery to be adopted in the management of TB-related stenosis. We conducted a non-systematic review aimed at describing the scientific literature on the role of bronchoscopic techniques in the diagnosis and therapy of patients with TB. We focused on three main areas of interventions: bronchoscopic diagnosis of smear negative/sputum scarce TB patients, endobronchial TB diagnosis and treatment and needle aspiration techniques for intrathoracic TB lymphadenopathy. We described experiences on bronchoalveolar lavage, bronchial washing, and biopsy techniques for the diagnosis of patients with tracheobronchial and pulmonary TB; furthermore, we described the role played by conventional and ultrasound-guided transbronchial needle aspiration in the diagnosis of suspected hilar and mediastinal TB adenopathy. Finally, we assessed the role of the bronchoscopic therapy in the treatment of endobronchial TB and its complications, focusing on dilation techniques (such as balloon dilation and airway stenting) and ablative procedures (both heat and cold therapies).

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Section: Ablative Techniques In Tuberculosis Patients With Endobronchmentioning

confidence: 99%

Bronchoscopic techniques in the management of patients with tuberculosis

Mondoni

Repossi

Carlucci

et al. 2017

International Journal of Infectious Diseases

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“…If the material is handled correctly, the specimen can be used for bacterial cultivation and even resistance testing. This is of the utmost importance in cases of isolated lymph node tuberculosis [ 191 , 192 ].…”

Section: Semi-invasive Diagnostic Endoscopic Ultrasoundmentioning

confidence: 99%

Present status and perspectives of endosonography 2017 in gastroenterology

Hocke

Braden

Jenssen³

et al. 2018

Korean J Intern Med

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Endoscopic ultrasound has become an essential tool in modern gastroenterology and abdominal surgery. Compared with all other endoscopic methods, it has the most potential for innovation and its future looks bright. Thus, we compiled this summary of established and novel applications of endoscopic ultrasound methods to inform the reader about what is already possible and where future developments will lead in improving patient care further. This review is structured in four parts. The first section reports on developments in diagnostic endoscopic ultrasound, the second looks at semi-invasive endoscopic ultrasound, and the third discusses advances in therapeutic endoscopic ultrasound. An overview on the future prospects of endoscopic ultrasound methods concludes this article.

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“…Endoscopic ultrasound (EUS) may help in diagnosis of esophageal and mediastinal tuberculosis. 5,6,[8][9][10] We present one case report of esophageal TB in order to uncover rare presentation, diagnosis and outcome in management of this disease at tertiary level hospital.…”

Section: Introductionmentioning

confidence: 99%

Dysphagia as an Uncommon Presentation of Disseminated Tuberculosis: A Case Report

Shil

Banik

Saha

et al. 2020

J. Bangladesh Coll. Phys.

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This is a case report of a 57-year old farmer who presented with a 4 months history of dysphagia and weight loss. Upper gastrointestinal endoscopy revealed submucosal swellings with overlying ulcers at mid to lower part of esophagus. Repeated histopathological evaluation of endoscopic esophageal tissue biopsies showed nonspecific findings. Endoscopic ultrasound showed a hypoechoic mass at submucosal layer with periesophageal lymphadenopathy. Endosonogram guided FNA materials depicted caseating granulomas. Patient was managed with anti-tuberculosis therapy. Follow up endosonography after therapy revealed resolution of the growth and the mediastinal lymph node enlargement and patient was symptomatically improved. J Bangladesh Coll Phys Surg 2020; 38(3): 150-154

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Endoscopic ultrasound in mediastinal tuberculosis

Cited by 16 publications

References 34 publications

Bronchoscopic techniques in the management of patients with tuberculosis

Bronchoscopic techniques in the management of patients with tuberculosis

Present status and perspectives of endosonography 2017 in gastroenterology

Dysphagia as an Uncommon Presentation of Disseminated Tuberculosis: A Case Report

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