DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20180475

A retrospective study of brochoscopic profile of patients in a tertiary care centre

Amit Kumar, Prashant Choudhary, Javed Khan, Rishi Saini

Abstract


Background: The purpose of this study was to find out the demographic profiles, indications, bronchoscopic findings and diagnosis of the patients who underwent bronchoscopic examination.

Methods: A retrospective analysis of 200 consecutive fiber-optic bronchoscopies was performed at RMCH from June 2015 to June 2017 to find out the demographic and clinical profile of the patients who underwent this procedure. The instrument Olympus video bronchoscope was used for the procedure.

Results: Among total of 200 patients, 131 (65.5%) were males and 69 (34.5%) patients were females. 150 (75%) patients were smokers and 50 (25%) patients were non- smokers. Cough was the most common presenting symptom in 180 (90%) of the patients followed by breathlessness 138 (69%), chest pain 114 (57%), hemoptysis 80 (40%), fever 66 (33%). The most common finding is endobronchial growth in 119 (59.5%) followed by nonspecific inflammation 40 (20%), inconclusive 21 (10.5%), normal 12 (6%), suspected growth 8 (4%).Out of 200 patient biopsy was done in 65 patients (32.5%) and most common histopathological diagnosis was malignancy 42 (64.61%), pulmonary tuberculosis 10 (15.38%), Infective pathology 9 (13.8%), inconclusive 4 (6.1%).

Conclusions:Bronchoscopy is a safe and useful tool for making the diagnosis of a variety of pulmonary diseases. Endobronchial growth and malignancy were the commonest findings on bronchoscopy and histopathological examination respectively. Moreover, we would like to emphasize the importance of attempting biopsy from the abnormal segment of the lung even when bronchoscopy does not show frank mucosal growth.

 


Keywords


Bronchoscopy, Endobronchial growth, Hemoptysis, Tuberculosis

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References


Zollner F. Gustav Killian-Father of bronchoscopy. Arch Otolaryngol. 1965;82:656.

Prakash UBS, Offord KP, Stubbs SE. Bronchoscopy in North America: The ACCP survey. Chest. 1991;100:1668-75.

Willcox PA, Benatar SR, Potgieter PD, Ferguson AD, Bateman ED. Fibre-optic bronchoscopy. Experience at Groote Schuur Hospital. South Afr Med J= Suid-Afrikaanse tydskrif vir geneeskunde. 1981;60(17):651-4.

Cohen B, Graves C, Levy D, Permutt S, Diamond E, Kreiss P, et al. A common familial component in lung cancer and chronic obstructive pulmonary disease. Lancet. 1977;310(8037):523-6.

Abal Arca J, Parente I, Almazán RL. Lung cancer and COPD: a common combination. Arch Bronconeumol. 2009;45:502-7.

Johnston H, Reisz G. Changing spectrum of hemoptysis Underlying causes in 148 patients undergoing diagnostic flexible fiberoptic bronchoscopy. Arch Intern Med. 1989;149:1666-8.

Santiago S, Tobias J, Williams AJ. A reappraisal of the causes of hemoptysis. Arch Intern Med. 1991;151:2449-51.

Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital. Chest. 1997;112:440-4.

Chokhani R. Lung cancer diagnosis by bronchofiberoscopy in a chest clinic in Kathmandu. Nepal Med Coll J. 1998;1:25.

Wahbah M. Changing trends in the distribution of the histologic types of lung cancer: a review of 4,439 cases. Ann Diagn Pathol. 2007;11:89.

Alberg AJ, Samet JM. Epidemiology of lung cancer. Chest. 2003;123 (1 Suppl):21S-49S.

Department of Health and Human Services. Report of the Surgeon General. The Health Consequences of Smoking: Cancer. DHHS (PHS) 82-50179. Washington, US Department of Health and Human Services, 1982.

Department of Health, Education, and Welfare. Smoking and Health: Report Washington: U.S Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, PHS Pub,1964.

Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, Washington, DC CDC Pub, 2004.

Samet JM. Health benefits of smoking cessation. Clin Chest Med. 1991;12(4):669-79.

Samet J M, Wiggins CL, Humble CG, Pathak DR. Cigarette smoking and lung cancer in New Mexico. Amer Rev Respir Dis. 1988;137(5):1110-3

Bach P, Ginsberg RJ. Epidemiology of lung cancer. In Ginsberg RJ, editor. Lung cancer. Hamilton: BC Decker, 2002:1-10.

Pue CA, Pacht ER. Complications of fiberoptic bronchoscopy at a university hospital. Chest. 1995;107:430-2.

Credle Jr WF, Smiddy JF, Elliott RC. Complications of Fiberoptic Bronchoscopy 1-3 Ame Review Res Dis. 1974;109(1):67-72.