Published: 2018-01-24

Bronchoscopic findings of flexible bronchoscopy: a one-year retrospective study in a tertiary care hospital

Philips Antony, Hafiz Deshmukh


Background: Since the introduction of the first flexible fiberoptic bronchoscope by Shigeto Ikeda in 1966, fiberoptic bronchoscopy (FOB) has been a valuable tool in the diagnosis of pulmonary diseases. Therefore, the aim of this study is to report our one-year experience with the yield of flexible fiberoptic bronchoscopy at MGM Medical College and Hospital, a tertiary hospital in Maharashtra.

Methods: A retrospective study of fiberoptic bronchoscopy (FOB) was performed at MGM Medical College and Hospital, Aurangabad, Maharashtra during the period 2015-2016. Bronchoscopy was performed and collection of bronchial washing, bronchial brushing, bronchial biopsy and transbronchial needle aspiration was done.

Results: Out of 192 patients, 140 were males and 52 were females. Majority of them were in age group 50-59 years. Main indication was pulmonary tuberculosis. Bronchial washings were done in 168 cases and brushing in 56 cases and common location for both was right upper lobe; bronchial biopsy was done in 90 cases with commonest location left main bronchus. Transbronchial needle aspiration was done in 4 cases, active bleed was seen in 6 cases and purulent discharge was seen in 24 cases. Bronchoscopic finding in majority of patients was normal tracheobronchial tree.

Conclusions: The optimal use of conventional bronchoscopy and its techniques in the hands of experienced respiratory interventionists, with the adherence of the international guidelines for performing these techniques will improve the diagnostic outcomes of those patients with the least morbidity and mortality, employing better therapeutic strategies, and thus improving the overall management of those patients.


Bronchial brushing, Bronchial biopsy, Bronchial washing, Fiberoptic bronchoscopy, Transbronchial needle aspiration

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Ohata M. History and progress of bronchology in Japan. J Japan Soci Res Endos. 1998;20(6):539-46.

Anthony Seaton, Douglas Seaton. Crofton and Douglas’s Respiratory diseases; 5th ed. Pub. Blackwell Science, 2008:148-9.

Shagufta Tahir Mufti1, Ghadeer A. Mokhtar; Diagnostic value of bronchial wash, bronchial brushing, fine needle aspiration cytology versus combined bronchial wash and bronchial brushing in the diagnosis of primary lung carcinomas at a tertiary care hospital. Biomed Res. 2015;26(4):777-84.

Tuladhar A, Panth R, Joshi A R. Comparative analyses of cytohistologic techniques in diagnoses of lung lesions. J Pathol Nepal. 2011;1:126-30.

Gellert AR, Rudd RM, Sinha GA, Geddes DM. Fibreoptic bronchoscopy: effect of multiple bronchial biopsies on diagnostic yield in bronchial carcinoma. Thorax. 1982;37(9):684-7.

Bhadke B, Munje R, Mahadani J, Surjushe A, Jalgaonkar P. Utility of fiberoptic bronchoscopy in diagnosis of various lung conditions: Our experience at rural medical college. Lung India: official organ of Indian Chest Society. 2010;27(3):118.

Fasihuddin S, Mashlah A, Alkaffas E, Tauheed H. Eight Year Audit of Fibreoptic Bronchoscopies Performed at King Abdul Aziz Hospital, Makkah, Saudiarabia. Pak J Chest Med. 2015;18(3).

Arun BJ, Antin G, Vidyasagar B. Role of fiberoptic bronchoscopy in suspected cases of lung cancer. Int J Evid Based Healthc. 2014;1(12):1494-502.

Park JH, Kim SJ, Lee AR, Lee JK, Kim J, Lim HJ, et al. Diagnostic yield of bronchial washing fluid analysis for hemoptysis in patients with bronchiectasis. Yonsei medical journal. 2014;55(3):739-45.

Nicotra MB, Rivera M, Dale AM, Shephered R, Carter R. Clinical, Pathophysiologic, and microbiologic characterization of bronchiectasis in an aging cohort. Chest. 1995;108:955-61.

Jacomelli M, Silva PR, Rodrigues AJ, Demarzo SE, Seicento M, Figueiredo VR. Bronchoscopy for the diagnosis of pulmonary tuberculosis in patients with negative sputum smear microscopy results. J Bras Pneumol. 2012;38:167-73.

Magazine R, Rao S. Utility of flexible fiber optic bronchoscopy: Experience from a tertiary care teaching hospital. J Dr. NTR University Health Sci. 2013;2(4):249.