Diagnostic role of fiberoptic bronchoscopy in various respiratory diseases at esic medical college hospital Sanath Nagar

K Prabhakar; Rakesh Gattu; K Surender Reddy; Narayana Mood; B Aruna Kumari

doi:10.53730/ijhs.v6nS9.13223

Authors

Prabhakar K Assistant Professor, Department of Pulmonology, ESIC Medical College, Sanath Nagar, Hyderabad
Rakesh Gattu Senior Resident, Department of Pulmonology, ESIC Medical College, Sanath Nagar, Hyderabad
K Surender Reddy Professor, Department of Pulmonology, ESIC Medical College, Sanath Nagar, Hyderabad
Narayana Mood
narayana5005@gmail.com
Assistant Professor, Department of Pulmonology, ESIC Medical College, Sanath Nagar, Hyderabad
B Aruna Kumari Professor, Department of Pulmonology, ESIC Medical College, Sanath Nagar, Hyderabad

Keywords:

FOB (fiberoptic bronchoscopy), Histopathology, Lung malignancy

Abstract

Background: Fiber-optic bronchoscopy is a safe and effective diagnostic and therapeutic technique for pulmonary disease diagnosis and treatment. The purpose of this descriptive study was to determine the demographic profiles, indications, bronchoscopic findings, and diagnosis of individuals who had a bronchoscopic examination. Materials and Methods: For a year, 150 patients received bronchoscopies at the ESICMCH hospital in Sanath Nagar, Hyderabad, in the department of pulmonary medicine. All of the subjects underwent a thorough clinical history, physical examination, and standard tests. Sputum examination (for acid fast bacilli (AFB) staining, gramme staining, culture/sensitivity, KOH staining, malignant cells), hematological examination, and coagulation profile were performed on all patients. Fiberoptic bronchoscopy was then performed on all of the patients. Under topical anesthetic (2% lignocaine), flexible bronchoscopy was done with a fiberoptic scope via the transnasal route. Pulse oximetry was used to measure oxygenation throughout the process. After a thorough inspection of the endobronchial tree, appropriate samples such as bronchoscopic aspirate, brushing, and biopsy were taken, depending on the lesion. Depending on the clinical diagnosis and bronchoscopic findings, samples were submitted to cytology and histology. Results: Out of 150 patients, 100 (66.67%) were males and 50 (33.33%) were females.

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References

Abal Arca J, Parente I, Almazán RL. Lung cancer and COPD: a common combination. Arch Bronconeumol 2009; 45: 502-7.

Al-Quorain A, Ibrahim EM, Al-Ghassab G, AlMohana F, Baris I. Use of flexible fiberoptic bronchoscopy in pulmonary diseases: analysis of outcome and prediction of clinically useful studies. Indian J Chest Dis Allied Sci 1988; 30:167-75.

Alzeer AH, Al-Otair HA, Al-Hajjaj MS. Yield and complications of flexible fiber optic bronchoscopy in a teaching hospital. Saudi Med J 2008; 29(1):55- 59.

Cohen BH, Diamond EL, Graves CG et al.A common familial component in lung cancer and chronic obstructive pulmonary disease. Lancet 1977; 2: 523-36.

Foos L, Patuto N, Chhajed PN, Tamm M. Diagnostic yield of flexible bronchoscopy in current clinical practice. Swiss Med Wkly. 2006;136(9-10):155- 9.

Hansen R, Zavala DC, Rhodes ML. Transbronchial lung biopsy via flexible fiberoptic bronchoscopy. Am Rev Respir Dis 1986; 114:112-28.

Ibrahim AS, Allangawi MH, Sattar HA, Mobyed HS,Almohammed AA. Indications, diagnostic yields and complications of transbronchial biopsy over 5 years in the State of Qatar. Saudi Med J 2005; 26(4): 641-45.

Joos L, Patuto N, Chhajed PN, Tamm M. Diagnostic yield of flexible bronchoscopy in current clinical practice.Swiss Med Wkly 2006;136:155-59.

Kulpati DDS, Heera HS. Diagnosis of smear negative pulmonary tuberculosis by flexible fiberoptic bronchoscopy. Indian J Tuberc. 1986; 33(4):179-82.

Prakash UB, Offord KP, Stubbs SE. Bronchoscopy in North America: the ACCP survey. Chest. 1991;100(6):1668-75.

Pue C A, Eric R. Pacht E R. Complications of Fiber optic Bronchoscopy at a University Hospital.Che st1995;107;430-32.

Sawy MS, Jayakrishnan B, Behbehani N, Abal AT, El-Shamy A, Nair MG. Flexible fiber optic bronchoscopy. Diagnostic yield. Saudi Med J 2004; 25(10):1459-63.

Sharma A, Gandotra N. Role of Fibroptic broncoscopy in establshing the diagnosis of various lung diseases in tertairy care hospital. International Journal of Science and Research 2015;4(10): 1498-1500

Stover DE, Zaman MB, Hajdu SI, Lange M, Gold J, Armstrong D. Bronchoalveolar lavage in the diagnosis of diffuse pulmonary infiltrates in the immunosuppressed host. Ann Intern Med. 1984;101(1):1-7.