Diagnostic Yield of Flexible Fiberoptic Bronchoscopy (FOB) in ClinicoRadiologically Undiagnosed cases of Pulmonary Diseases in a Tertiary Care Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 10
Abstract
Background: Fiberoptic bronchoscopy (FOB) is one of the important invasive tool for diagnosis of pulmonary diseases specially in undiagnosed cases with routine non-invasive investigations. Despite, recent technical innovations in bronchoscopy, routine FOB is practiced with high yield and cost effectiveness. Materials and Methods: This prospective study was done in patients reporting to Department of Respiratory Medicine (OPD & IPD) from December 2016 to December 2017 of Mahatma Gandhi Medical College & Hospital, Jaipur. Results: Among 80 patients 68 (85%) were males & 12 (5%) females. Age group of maximum patients was above 50 years. Most common clinical manifestation was Cough 55 (69%), commonest indication for bronchoscopy was Hilar Enlargement 31.25% ,Consolidation 21 %,Collapse 20 %,Mass lesion 15 %, Pulmonary Infiltrates 6% etc ,most common finding on bronchoscopy was Endobronchial Growth in 38 (47.5%) patients, Overall yield of FOB in final diagnosis of undiagnosed cases of lung diseases was 88.75% and highest individual diagnostic yield of diagnostic procedure done through fob was of bronchial biopsy 55( 84.7%). Conclusion: Fiberoptic bronchoscopy can be successfully employed for the diagnosis of lung diseases, including malignancies and granulomatous lesions. It is extremely usefull in finding specific etiologies of various lung diseases.
Authors and Affiliations
Dr Raaghav Gupta
Keywords
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