Pleuroscopy in the diagnosis of pleural effusion using a fiberoptic bronchoscope

Sarkar, Samir Kumar; Purohit, Shobha; Sharma, Tarun; Sharma, Vijay K.; Ram, M Akshaya; Singh, Ajai

doi:10.1016/0041-3879(85)90081-9

Cited by 9 publications

(3 citation statements)

References 13 publications

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“…9 In our study the , while others authors have claimed that it is superior than the closed biopsy of the pleura for diagnosis of tuberculosis. 11 However, Menzies and Charbonneau reported contrary, that pleuroscopic biopsy does not increases the yield for tuberculosis but it increases the yield for malignancy.…”

Section: Discussionmentioning

confidence: 98%

EXUDATIVE PLEURAL EFFUSION; Comparison of diagnostic yield between pleuroscopic and closed percutaneous pleural biopsies in patients

Saifullah¹,

Baig²,

Soomro³

et al. 2016

TPMJ

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ABSTRACT… Objectives:To compare the pleuroscopic and closed pleural biopsy by Abrams needle in terms of diagnostic yield and obtaining specific diagnosis in cases of exudative pleural effusion. Study Design: Cross sectional study. Period: August 2014 to February 2015. Setting: Department of Thoracic Medicine Jinnah Post Graduate Medical Center Karachi. Methodology: All patients with pleural effusion who were admitted and fulfilling the inclusion criteria were included in the study .Closed pleural biopsy using Abrams needle followed by pleuroscopy with a flexible pleuroscope was performed from the same incision, in the same sitting. The samples were sent for histopathology. To control bias samples were coded as A and B and the code was not known to the histopathologist. Results: Among 60 patients, Mean age was 42.85 years with ±18.2 standard deviation and male to female ratio was 1.6 :1. Specific diagnosis through pleuroscopic biopsy had shown 27 (45%) cases of tuberculosis, 25 (41.7%) of adenocarcinoma, 5 (8.3%) of chronic non specific inflammation, one (1.7%) case of lymphoma and 2 (3.3%) cases could not be reached for any diagnosis. Conclusion: Pleuroscopy has better yield than the Abrams needle biopsy in terms of both diagnostic yield and specific diagnosis Key words:Pleuroscopy, Abrams biopsy, pleural effusion and biopsy.

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Section: Discussionmentioning

confidence: 98%

EXUDATIVE PLEURAL EFFUSION; Comparison of diagnostic yield between pleuroscopic and closed percutaneous pleural biopsies in patients

Saifullah¹,

Baig²,

Soomro³

et al. 2016

TPMJ

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“…9 In our study the Castardoy et al have found that pleuroscopic biopsy to be a good technique for the diagnosis of pleural effusion secondary to tuberculous 10 , while others authors have claimed that it is superior than the closed biopsy of the pleura for diagnosis of tuberculosis. 11 However, Menzies and Charbonneau reported contrary, that pleuroscopic biopsy does not increases the yield for tuberculosis but it increases the yield for malignancy. 12 In malignant pleural effusion pleural fluid cytology for malignant cells is one of the best technique for the confirmation of the diagnosis.…”

Section: Discussionmentioning

confidence: 98%

Exudative Pleural Effusion

Saifullah

Baig

Soomro

et al. 2016

TPMJ

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Objectives: To compare the pleuroscopic and closed pleural biopsy by Abramsneedle in terms of diagnostic yield and obtaining specific diagnosis in cases of exudative pleuraleffusion. Study Design: Cross sectional study. Period: August 2014 to February 2015. Setting:Department of Thoracic Medicine Jinnah Post Graduate Medical Center Karachi. Methodology:All patients with pleural effusion who were admitted and fulfilling the inclusion criteria wereincluded in the study .Closed pleural biopsy using Abrams needle followed by pleuroscopy witha flexible pleuroscope was performed from the same incision, in the same sitting. The sampleswere sent for histopathology. To control bias samples were coded as A and B and the codewas not known to the histopathologist. Results: Among 60 patients, Mean age was 42.85 yearswith ±18.2 standard deviation and male to female ratio was 1.6 :1. Specific diagnosis throughpleuroscopic biopsy had shown 27 (45%) cases of tuberculosis, 25 (41.7%) of adenocarcinoma,5 (8.3%) of chronic non specific inflammation, one (1.7%) case of lymphoma and 2 (3.3%)cases could not be reached for any diagnosis. Conclusion: Pleuroscopy has better yield thanthe Abrams needle biopsy in terms of both diagnostic yield and specific diagnosis

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“…The flexible bronchoscopes may be sterilized using different methods such as ethylene oxide gas or hydrogen peroxide gas plasma. MP has been previously described using flexible bronchoscopes with no reported infectious complications (8)(9)(10). However, the use of approved sterilization techniques is of crucial importance.…”

Section: Discussionmentioning

confidence: 99%

Initial experience of medical pleuroscopy via the peel-away introducer of the indwelling pleural catheter using a thin bronchoscope

2017

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We present a case series describing a modified technique of combining medical Pleuroscopy (MP) and indwelling pleural catheter (IPC) placement for obtaining pleural biopsies and managing recurrent pleural effusions. The unique feature of this technique is the introduction of a thin bronchoscope through the peel-away introducer of IPC to obtain pleural biopsies thus avoiding a bigger incision followed by placement of IPC. This procedure was performed on nine patients in an outpatient setting. A regular flexible bronchoscopy forceps was used to obtain pleural biopsies in eight out of nine patients and only one patient could not tolerate the procedure due to marginal respiratory status. A diagnosis of malignancy was successfully obtained in six patients, one patient had biopsy findings of chronic inflammation and one patient had necrotic debris and rare atypical cells despite having visible pleural lesions. No procedure related patient complications were noted.

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Pleuroscopy in the diagnosis of pleural effusion using a fiberoptic bronchoscope

Cited by 9 publications

References 13 publications

EXUDATIVE PLEURAL EFFUSION; Comparison of diagnostic yield between pleuroscopic and closed percutaneous pleural biopsies in patients

EXUDATIVE PLEURAL EFFUSION; Comparison of diagnostic yield between pleuroscopic and closed percutaneous pleural biopsies in patients

Exudative Pleural Effusion

Initial experience of medical pleuroscopy via the peel-away introducer of the indwelling pleural catheter using a thin bronchoscope

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