Year : 2013 | Volume
: 2 | Issue : 4 | Page : 249--254
Utility of flexible fiber optic bronchoscopy: Experience from a tertiary care teaching hospital
Rahul Magazine, Shobitha Rao
Department of Pulmonary Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
Aims: To identify the indications for flexible fiber optic bronchoscopy (FOB) and to compare the pre- and post-bronchoscopy diagnoses.
Settings and Design: A retrospective case record based study of 322 subjects who had been admitted in the different wards of a tertiary care teaching hospital in south India and had undergone flexible fiber bronchoscopy for various indications was conducted.
Materials and Methods: The demographic data, chest radiographic findings, pre-bronchoscopy suspected clinical diagnosis, bronchoscopy findings, microbiological results, pathological data, and post-bronchoscopy confirmed clinical diagnosis were recorded as per a pre-designed pro forma and analyzed. Results: The mean age of the patients was 52.99 years (SD ± 15.1, range: 17-82). The top three pre-bronchoscopy suspected clinical diagnoses were pulmonary tuberculosis (n = 129, 40%), lung malignancy (n = 99, 30.7%), and bacterial pneumonia (n = 57, 17.7%). The distribution of the clinical diagnoses post-bronchoscopy was as follows: Bacterial pneumonia (n = 58, 18%), lung malignancy (n = 56, 17.4%), and pulmonary tuberculosis (n = 28, 8.7%). FOB confirmed the diagnoses of lung malignancy, bacterial pneumonia, and pulmonary tuberculosis in 45.5%, 31.6%, and 18.6% of the respective suspected diagnostic categories. Twenty-four (85.7%) cases of confirmed pulmonary tuberculosis and 45 (80.4%) cases of confirmed lung malignancy were rightly suspected by the clinician prior to bronchoscopy. Overall, the diagnosis could be established in 142 (44.1%) cases with the help of FOB.
Conclusion: Bronchoscopy could establish a diagnosis in less than half of the cases. The commonest suspected pre-bronchoscopy clinical diagnosis was pulmonary tuberculosis, but the commonest confirmed post-bronchoscopy diagnosis was bacterial pneumonia. Lung malignancy category had the best correlation between pre-bronchoscopy and post-bronchoscopy diagnosis.
Department of Pulmonary Medicine, Kasturba Medical College, Manipal University, Manipal - 576 104, Karnataka
|How to cite this article:|
Magazine R, Rao S. Utility of flexible fiber optic bronchoscopy: Experience from a tertiary care teaching hospital.J NTR Univ Health Sci 2013;2:249-254
|How to cite this URL:|
Magazine R, Rao S. Utility of flexible fiber optic bronchoscopy: Experience from a tertiary care teaching hospital. J NTR Univ Health Sci [serial online] 2013 [cited 2020 May 25 ];2:249-254
Available from: http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2013;volume=2;issue=4;spage=249;epage=254;aulast=Magazine;type=0