Utility of fiberoptic bronchoscopy in diagnosis of various lung conditions: Our experience at rural medical college

Abstract

Aim:To evaluate the utility of fiberoptic bronchoscopy in order to find out the etiology in various lung conditions.Materials and Methods:Fiberoptic bronchoscopy was performed in 120 adult patients who had persistent opacities on chest radiography in the form of collapse, consolidation, hilar mass and cavity with proper antibiotic course of 1 to 3 months. Bronchoscopic aspirates, brushing and biopsy (as and when required) were taken. Patient with known lung cancer, sputum positive pulmonary TB, recent myocardial infarction, allergic diseases and blood dyscrasias were excluded.Results:Fiberoptic bronchoscopy was diagnostic in 90 (75%) patients. Bacterial pneumonias were found in 32 (26.66%), malignancy in 28(23.33%), pulmonary TB in 20 (16.66%), fungal pneumonia in 6(5%) and foreign bodies in 4(3.33%) patients. In 30(25%) patients no specific diagnosis was made.Conclusion:We conclude that fiberoptic bronchoscopy was found to be extremely useful in finding specific etiology of various lung diseases.

Usefulness of Fiber-optic Bronchoscopy in the Diagnosis of Pulmonary Diseases in Diabetic Patients: Experience in a Tertiary Care Hospital

“…In another study the diagnostic yield was 75%. 8 Around one-third of the patients in our study had mitotic lesion in bronchoscopy. In another one-third cases, bronchoscopy showed inflammatory lesion and in rest one-third cases the findings were normal.…”

“…Badhke et al found pneumonias in 26.6%, malignancy in 23.3%, pulmonary TB in 16.6% cases and in 25% patients no specific diagnosis was made. 8 Among 41 cases of histologically proved bronchial carcinoma, squamous cell type was the predominant type (43.9%), followed by large cell carcinoma (26.8%). This is similar to previous pattern of histological type of bronchial carcinoma, but contrary to the present trend of rising proportion of adenocarcinoma.…”

“…Similarly Badhke et al in their study found the common indications for bronchoscopy were consolidation (41.7%), collapse (20.8%), parahilar mass (10.8%), consolidation with effusion (6.7%), cavity (6.7%) and collapse with effusion (4.2%). 8 In the American College of Chest Physicians (ACCP) survey on immunocompromized hosts (like diabetes mellitus), the most common indications for bronchoscopy were an abnormal chest radiograph (consolidation or mass lesion), haemoptysis and chronic cough. 9 We found that FOB was diagnostic in 66.2% of patients.…”

Diagnostic bronchoscopy: an experience in a hospital of limited resources

“…26 BAL, bronchial brushing, bronchial washing and forceps biopsy under direct vision helped in the yield for detection of lung cancer in the present study, the yield was observed in 31 (17.4%) cases out of total bronchoscopy cases (n=178). The yield was 31.11% in one study and upto 11% in another study by Johnson JL et al 27,28…”

Role of Flexible Video Bronchoscopy in Diagnosis of Pulmonary Lesions

“…In lung malignancy; FOB helps in early detection of lung cancer by providing an avenue for inspection of peripheral airways including those of the upper lobes. FOB provides histological diagnosis in between 60% to 80% of cases without serious complications (3,4) . FOB is performed for various indications.…”