Spectrum of Bronchoscopy at Tertiary Care Hospital at Jaipur in Rajasthan
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 7
Abstract
Introduction: Era of bronchoscopy began when German laryngologist Gustav Killan in 1876 and flexible fibro optic bronchoscope was introduced by Ikada in 1964. Bronchoscope has become an important diagnostic as well as therapeutic tool for management of chest diseases and revolutionized the practice of pulmonary medicine. The indications of bronchoscopy are numerous diagnostic as well as therapeutic on the basis of underlying pulmonary diseases. Material & Method: This study is retrospective analysis of 200 bronchoscopies which were carried out over period of October 2016 to November 2017 at Mahatma Gandhi Hospital, Jaipur. Result: Diagnostic bronchoscopy done in 154 cases. Malignancy was confirmed in 88(68%) out of 130 suspected cases, while tuberculosis was confirmed in 7(54%) out 13 presumptive pulmonary tuberculosis. Bronchial biopsy was positive in 68% while bronchial brush was positive 51%. Histopathological profile of malignancy was dominated by squamus cell carcinoma 64, small cell carcinoma 11, adenocarcinoma 8 and rest of 5 were other rare type. Gene Xpert of bronchial lavage was positive for tuberculosis in 7 out of 13 cases of presumptive pulmonary tuberculosis. Therapeutic bronchoscopy was performed in 46 cases. Majority of therapeutic bronchoscopy done for collapsed lung (n-41) and 93% were successfully expanded after procedure. Two cases of tracheal stenosis were successfully dilated by repeated balloon dilatation. Life threatening central airway obstruction by known endobronchial malignant lesion were made patent by putting self expandable metallic stent in 2 cases. Foreign body (tooth) was removed in one patient from right intermedius bronchus. Conclusion: Conventional bronchooscopy still remain useful and safe tool for various pulmonary disorders like carcinoma lung, tuberculosis, pneumonia
Authors and Affiliations
Dr Lokesh Maan M. D.
Keywords
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