Utility of Fibreoptic Bronchoscopy: An Experience from a Tertiary Health Care centre of Bihar, India
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: Fibreoptic bronchoscopy is a very important tool in the modern era in the field of pulmonary medicine in arriving to a definite diagnosis. Study was done to evaluate, identify and enlist the utility of fiberoptic bronchoscopy to find out the diagnosis in various lung conditions. Material and Methods: A total of 96 patients attending TB and Chest department in Indira Gandhi institute of medical sciences (IGIMS), Patna, Bihar, India who needed bronchoscopy were selected based on undiagnosed pulmonary conditions. Bronchoscopy was performed with Pentax fibreoptic bronchoscope. Relevant data were recorded as per a pre-designed proforma and analysed. Results: Out of 96 patients, 62 (64.58%) were male, and 34 (35.41%) were female. 55 (57.29%) patients were above 44 years of age. Majority of indication of bronchoscopy was radiographic abnormality (54%). Tuberculosis was confirmed in 29 (30.2%) patients, pneumonia in 17 (17.7%) cases, malignancy in 21 (21.8%), sarcoidosis in 2 (2.08%) and tracheo oesophageal fistula in 1(1%) patient whereas bronchoscopy remained nondiagnostic in 26(27%) patients. Complications which occurred in these patients included desaturation (5.2%), haemorrhage (6.25%), bronchospasm (7.3%), and death (0.01%). These complications were managed accordingly and all but 1 patient recovered without any serious consequences. Conclusions: In our setup bronchoscopy was mainly diagnostic with most common indication being chest radiographic abnormalities, persistent haemoptysis and to confirm pulmonary tuberculosis and malignancy. Fibreoptic bronchoscopy was found to be very useful in arriving to a particular diagnosis.
Authors and Affiliations
Manish Shankar, Kalyan Kumar Saha, Kumari Sneha, Mukesh Kumar Tiwari, Amarendu Kumar, Praveen Kumar
Keywords
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