Diagnostic Yield of Bronchoscopy in Benign Lung Diseases at Tertiary Health Care Hospital in South Gujarat
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Date
2024-12
Journal Title
Journal ISSN
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Publisher
THE INDIAN MEDICAL ASSOCIATION
Abstract
Methodology : Sixty patients with benign lung disorders like Suspected Sputum Negative Pulmonary Tuberculosis, Suspected Fungal Pneumonia, Suspected Bacterial Pneumonia and Suspected Interstitial Lung Disease were enrolled from April, 2020 to April, 2021 in this study. Detailed clinical history, physical examinations and necessary investigations were carried out. Eligible patients were subjected for fiberoptic video bronchoscopy. During Bronchoscopy Gross fiberoptic bronchoscopy findings noted and Bronchoalveolar lavage or tissue were sent for necessary investigations. Data entry and analysis were done using MS Excel sheet 2013. Result : Overall diagnostic yield of bronchoscopy in 60 patients was 63.3%. Out of 37 Sputum negative suspected cases of Pulmonary Tuberculosis posted for bronchoscopy, 22(59.4%) cases were confirmed to have tuberculosis, only 1(2.7%) case was having Bacterial pneumonia and 2(3.4%) cases were diagnosed with Tuberculosis had super added bacterial infection. Other 13 patients suspected of having bacterial pneumonia, 7(53.3%) patients were confirmed to have bacterial pneumonia while 2(15.3%) cases were found positive for tuberculosis. Out of 5 suspected cases of fungal pneumonia and 5 suspected cases of Interstitial Lung Disease, each 2(40%) patients had positive findings respectively. Overall complications developed in 7(11.7%) patients. Conclusion : Our study suggests, fiberoptic bronchoscopy can provide good sample material for diagnosis of suspected cases. Bronchoalveolar Lavage and Bronchial Brushing sent for AFB, CBNAAT, TB Culture, Cytology, KOH etc were cumulatively used to increase diagnostic yield of bronchoscopy.
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Keywords
Bronchoalveolar Lavage, Bronchial Brushing, CBNAAT
Citation
Gengadiya Jignesh Karamshibhai, Tamakuwala Grinish Pravinbhai, Vadgama Parul Kishorbhai, Mangrola Jeel Vijaybhai, Khatri Gopika Premchandra . Diagnostic Yield of Bronchoscopy in Benign Lung Diseases at Tertiary Health Care Hospital in South Gujarat. Journal of the Indian Medical Association. 2024 Dec; 122(12): 19-22