scholarly journals Flexible Fiberoptic Bronchoscopy: Indications, Diagnostic Yield and Complications

Cureus ◽  
2020 ◽  
Author(s):  
Sultan Qanash ◽  
Osamah A Hakami ◽  
Faisal Al-Husayni ◽  
Abdul Ghafoor Gari
1981 ◽  
Vol 90 (4) ◽  
pp. 339-343 ◽  
Author(s):  
John R. Armstrong ◽  
Jan R. Radke ◽  
Michael S. Eichenhorn ◽  
Paul A. Kvale ◽  
John Popovich

Flexible fiberoptic bronchoscopy was performed in 101 patients with sarcoidosis, and the endoscopic findings were analyzed and correlated with radiographic stages and diagnostic bronchial biopsy. Endoscopic findings included bronchostenosis (26% of patients), mucosal nodularity (64%), hypervascularity (38%), and mucosal edema (55%). The only correlation between these findings and the radiographic stage was the presence of mucosal nodularity observed in 73% of stage I (14/19 patients), decreasing to only 48% in stage III (15/31 patients). Bronchial biopsy yield was 58% for stage I, 62% for stage II, and 46% for stage III, with overall yield of 57%. However, the addition of bronchial biopsies increased the diagnostic yield of the bronchoscopic procedure from 73 % for transbronchial biopsies alone to 88% when the two procedures were combined. In the presence of endobronchial stenosis, mucosal nodularity and hypervascularity, bronchial biopsy yield was 91 % vs 37% when these were absent. We conclude that the endoscopic characteristics, with the exception of nodularity, do not correlate with radiographic stages. Bronchial biopsy yield is higher in those patients with mucosal nodularity, increased vascularity, and bronchostenosis. Bronchial mucosal biopsy also improved the overall diagnostic yield when it is obtained in conjunction with transbronchial lung biopsy.


2005 ◽  
Vol 40 (5) ◽  
pp. 392-397 ◽  
Author(s):  
Jorge L. Ramírez-Figueroa ◽  
Laura G. Gochicoa-Rangel ◽  
David H. Ramírez-San Juan ◽  
Mario H. Vargas

CHEST Journal ◽  
1978 ◽  
Vol 73 (6) ◽  
pp. 813-816 ◽  
Author(s):  
Wlademir Pereira ◽  
Daniel M. Kovnat ◽  
Gordon L. Snider

PEDIATRICS ◽  
1991 ◽  
Vol 87 (6) ◽  
pp. 897-899
Author(s):  
Jose A. Birriel ◽  
Jose A. Adams ◽  
Kunjana Mavunda ◽  
Sue Goldfinger ◽  
Donald Vernon ◽  
...  

Flexible fiberoptic bronchoscopy with bronchoalveolar lavage was performed in 16 pediatric patients with the acquired immunodeficiency syndrome (AIDS) and deterioration in pulmonary function suggestive of opportunistic infection. In 62% of the patients Pneumocystis carinii was identified. Culture results showed a pure growth of Pseudomonas aeruginosa for one patient in addition to the Pneumocystis carinii. Bronchoscopy with lavage was well tolerated, with few complications even among patients with significant tachypnea and hypoxia. Because of its relative safety and effectiveness, this procedure should be considered the first invasive measurement used for evaluation of parenchymal lung disease in this population of patients.


1976 ◽  
Vol 27 (6) ◽  
pp. 427-434
Author(s):  
Hideo Kato ◽  
Renjiro Kuriyama ◽  
Masafumi Shimura ◽  
Kenji Takamura ◽  
Kota Kono ◽  
...  

2021 ◽  
pp. 20-22
Author(s):  
Jaypal Singh Chahar ◽  
Naik Pankti S ◽  
Daxini Arvind B ◽  
Agrawal Bhavika

Introduction- Non-resolving pneumonia is always a challenging clinical scenerio where Various diagnostic modalities are greatly required to reach the diagnosis. We aimed to study The role of beroptic bronchoscopy in non-resolving pneumonia along with the various comorbidities associated with the disease condition. Methodology- A prospective observative study in a tertiary care hospital was undertaken. A total of 40 patients diagnosed with non-resolving pneumonia were recruited for diagnostic beroptic bronchoscopy. Results- The overall diagnostic yield of beroptic bronchoscopy in non-resolving pneumonia was 87.5%. The causes of non-resolving pneumonia were Tuberculosis(22.5%), bacterial pneumonia(45%), malignancy(15%), fungal pneumonia(5%). 12.5% patients were undiagnosed. Patients had a signicant past history which also revealed associated comorbid conditions. Diabetes(14(33%)) and COPD(11(27.5%)) were leading comorbid conditions. Conclusion- Fiberoptic Bronchoscopy is a great utility tool in reaching the diagnosis in patients with non-resolving pneumonia.


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