Title: Role of Flexible Video Bronchoscopy in Diagnosis of Pulmonary Lesions
Authors: Dr Vishal R. More, Dr B.O. Tayade , Dr Sonal S. Arsude
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.136
Abstract
Flexible video bronchoscopy is very useful & safe procedure for diagnosis of respiratory diseases. It can be performed under local anesthesia in various clinics/hospitals settings providing maximal visualization of tracheobronchial tree. The purpose of this article is to study the utility of Flexible video bronchoscopy in diagnosis of pulmonary lesions and various diagnostic techniques of bronchoscopy. we included cases where radiological & clinical examination or routine laboratory investigations could not clinch diagnosis & patients having persistant pulmonary lesions on chest xray in form of collapse, consolidation, nodule or mass. Case record form was maintained. All patients were subjected to sputum & hematological examination, chest xray, ECG, coagulation profile & CT scan thorax in some cases. Then patients were subjected to flexible video bronchoscopy. Appropriate samples such as bronchial wash, brushing, biopsy/trans-bronchial needle aspiration (if indicated) were obtained depending on the lesion after thorough evaluation of endobronchial tree. Mean age was 47.3±18.6 years. Nearly 2/3rd were males and rest were females. Over half of participants (55.4%) belonged to rural region. In bronchoscopy, Normal vocal cords were seen in(92.1%),left fixed cord (6.9%) & nodule on left vocal cord (2.0%). On evaluation after bronchoscopy Pulmonary TB was most common (24.8%) followed by bacterial pneumonia (24.8%) and malignancy (23.8%). Other diagnoses included fungal pneumonia and ILD. Bronchoscopy was nondiagnostic in 22.8% cases. Patients of respiratory complaints with lesion visible on chest xray who are undiagnosed can derive benefit by flexible bronchoscopy. Use of supportive techniques of bronchial wash, brushing, biopsy aid in diagnosis.
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Dr. More Vishal
Lata Mangeshkar Hospital, Nagpur PIN 440019
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