TRANSBRONCHIAL LUNG BIOPSY: TWO YEARS EXPERIENCE OF A TERTIARY CARE CENTRE
Main Article Content
Abstract
Objectives: To determine the outcome and safety of transbronchial lung bi- opsy (TBLB) in various pulmonary disorders, conducted at the Department of Pulmonology, Shaikh Zayed Hospital, Federal Postgraduate Medical Institute (FPGMI) Lahore, Pakistan.
Methodology: It was a case series consisting of 50 TBLB procedures conducted via flexible fibreoptic bronchoscope (among >200 diagnostic and therapeutic bronchoscopic procedures) over 24 months (April 2015 to April 2017). The data were entered and analyzed by using SPSS version 20.0.
Results: Fifty TBLB procedures yielded results in 45 patients (90%), while 5 (10%) remained inconclusive. Among all patients, pulmonary sarcoidosis was diagnosed in 12 (24%), malignant disease in 9 (18%), pulmonary tuberculosis (PTB) in 5 (10%), chronic hypersensitivity pneumonitis (CHP) in 4 (8%), orga- nizing pneumonia (OP) in 3 (6%), slowly resolving bacterial pneumonia in 5 (10%), non-specific interstitial pneumonia (NSIP) in 4 (8%) and others in 3(6%) of patients. Per procedural bleeding after TBLB occurred in around 13 (30%) but none developed a pneumothorax, hemodynamic instability or death during the procedure.
Conclusion: TBLB is a safe bronchoscopic procedure and carries a high diag- nostic yield in disorders involving the pulmonary parenchyma.
Article Details
Work published in JPMI is licensed under a
Creative Commons Attribution-NonCommercial 2.0 Generic License.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.