Diagnostic Yield of Conventional Fiberoptic Bronchoscopy in a Resource Limited Setting
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 9
Abstract
Fiberoptic Bronchoscopy is a commonly performed minimally invasive procedure in respiratory practice. Diagnostic yield of bronchoscopy varies considerably depending on indications and techniques used during bronchoscopy. Diagnostic innovations which increase the yield like endobronchial ultra sound, auto fluorescence bronchoscopy and electromagnetic navigation are not available even at tertiary care centers in India. Material & Methods: All 100 consecutive bronchoscopies performed in bronchoscopy suite of a tertiary care centre over a period of 1 year were evaluated in this study. All adult patients with undiagnosed respiratory conditions, patients not responding to treatment and patients with suspicious radiological shadows requiring treatment were included in the study. Results: 100 patients were studied. The mean age of the study population was 53.2 yrs (range 18 to 78 yrs). 70 % were males, 30 % were females. A total of 86 Bronchial washings & 14 Bronchoalveolar lavage were performed. 34 patients were subjected for bronchoscopic biopsies. Diagnostic yield of endobronchial biopsy was 88.23 % and of endobronchial washing was found to be 64.70%. The yield of washings for no endobronchial demonstrable lesion was 66.66%. Conclusion: The diagnostic yield of conventional bronchoscopy techniques is very high, technique is safe with few and acceptable complications
Authors and Affiliations
Vishwanath Pujari
Keywords
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