Version 1
: Received: 31 October 2023 / Approved: 31 October 2023 / Online: 1 November 2023 (02:09:19 CET)
How to cite:
Kaushik, R.; Dahiya, R.; Chaudhry, A.; Singh, P.K.; Ahuja, A.; Chaudhry, D.; Arya, G. The Use of Flexible Bronchoscope for Diagnostic Medical Thoracoscopy in a Resource Limited Setting: A Retrospective Study. Preprints2023, 2023102109. https://doi.org/10.20944/preprints202310.2109.v1
Kaushik, R.; Dahiya, R.; Chaudhry, A.; Singh, P.K.; Ahuja, A.; Chaudhry, D.; Arya, G. The Use of Flexible Bronchoscope for Diagnostic Medical Thoracoscopy in a Resource Limited Setting: A Retrospective Study. Preprints 2023, 2023102109. https://doi.org/10.20944/preprints202310.2109.v1
Kaushik, R.; Dahiya, R.; Chaudhry, A.; Singh, P.K.; Ahuja, A.; Chaudhry, D.; Arya, G. The Use of Flexible Bronchoscope for Diagnostic Medical Thoracoscopy in a Resource Limited Setting: A Retrospective Study. Preprints2023, 2023102109. https://doi.org/10.20944/preprints202310.2109.v1
APA Style
Kaushik, R., Dahiya, R., Chaudhry, A., Singh, P.K., Ahuja, A., Chaudhry, D., & Arya, G. (2023). The Use of Flexible Bronchoscope for Diagnostic Medical Thoracoscopy in a Resource Limited Setting: A Retrospective Study. Preprints. https://doi.org/10.20944/preprints202310.2109.v1
Chicago/Turabian Style
Kaushik, R., Dhruva Chaudhry and Geetika Arya. 2023 "The Use of Flexible Bronchoscope for Diagnostic Medical Thoracoscopy in a Resource Limited Setting: A Retrospective Study" Preprints. https://doi.org/10.20944/preprints202310.2109.v1
Abstract
Exudative-pleural-effusion (ePE) is a common presentation in pulmonology clinics. Pleural biopsy is indicated for identifying the aetiology in undiagnosed ePE especially the ones with low adenosine-deaminase levels. The access to rigid and semi-rigid medical thoracoscopy is scarce and heterogeneous in a resource limited country like India. In such circumstances, using flexible bronchoscope via intercostal-chest-tube for visualization of parietal pleura and pleural biopsy offers a way out. Here, in this retrospective study, we have presented our experience of such practice on 25 cases. Mean age was 52.4±1 years. Adhesions were present in 40% of the subjects. Most common finding was presence of nodules. On an average 6.8 passes were taken with maximum of 10. In 32% cases only tiny tissue was obtained, hence requiring multiple passes. Large tissue could be obtained in 44% of the subjects. Mean duration of the procedure was 35.6±9.0 minutes. Tissue diagnosis was established in 80% with most common being malignancy (48%) followed by tuberculosis (20%). In 3 cases, the final diagnosis was made by exclusion. No major complications were recorded. In conclusion, medical thoracoscopy using flexible video bronchoscope via intercostal-chest-tube was a feasible alternative for the diagnosis of ePE effusion in resource limited settings.
Keywords
Bronchoscope; Medical Thoracoscopy; Tuberculosis; Exudative Pleural Effusion; Malignant Pleural Effusion
Subject
Medicine and Pharmacology, Pulmonary and Respiratory Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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