The Role of Fiberoptic bronchoscopy in Evaluating The causes of Undiagnosed Pleural Effusion
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Background and objectives: To evaluate the diagnostic merits of Fiberoptic bronchoscopy in evaluating the causes of undiagnosed pleural effusion. Methods: This is a Prospective(Observational) study, conducted in the Department of Thoracic Medicine, Coimbatore Medical College, Coimbatore for a period of one year from June 2015 to June 2016. A total of 110 patients were included in this study. All eligible and consenting patients were subjected to routine blood investigations, sputum for Acid Fast Bacilli, chest skiagram , mantoux test and pleural fluid analysis, Pleural biopsy and Fiberoptic bronchoscopy were done and specimens were sent for microbiological, cytologicaland his to pathological analysis. Results: Among 110 patients with pleural effusion, after initial work up, diagnosis was made in 43(39.09%) patients. In the remaining 67 patients whose diagnosis was not made by initial workup, 3 patients were not willing for bronchoscopy and pleural biopsy. Out of 64 patients, Fiberoptic Bronchoscopy was useful in making diagnosis in 18(28.1%) patients. Pleural biopsy helped in diagnosing 26(40.62%) patients. Conclusion: Fiberoptic bronchoscopy is useful in patients with exudative effusion still un diagnosed after pleural fluid cytologyand biopsy who presents with parenchymal abnormalities on chest skiagram or with hemoptysis.
Authors and Affiliations
Anbananthan krishnasamy, Keerthivasan Sivanmani
Keywords
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- EP ID EP589436
- DOI 10.9790/0853-1601068084
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