Title: Diagnostic Yield of Flexible Fiberoptic Bronchoscopy (FOB) in Clinico-Radiologically Undiagnosed cases of Pulmonary Diseases in a Tertiary Care Hospital
Authors: Dr Raaghav Gupta, Dr VK Jain
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.68
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.
Keywords: Fiberoptic bronchoscopy.
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