Original Research Article
Year: 2019 | Month: July-September | Volume: 4 | Issue: 3 | Pages: 71-78
Role of Fibreoptic Bronchoscopy in the Evaluation of Haemoptysis
Don Gregory Mascarenhas1, Glenn Austin Fernandes2, Vimala Colaco3
1Assistant Professor, Department of Respiratory Medicine
2Assistant Professor, Department of General Medicine
3Resident in Dept of General Medicine
Father Muller Medical College, Kankanady, Mangalore
ABSTRACT
Introduction: Hemoptysis is an alarming symptom requiring rapid evaluation in order to establish etiology and initiate treatment. This study aims to assess the diagnostic yield of bronchoscopy and outcomes of patients with hemoptysis.
Aims and objectives: To study the clinical profile, etiology and immediate outcomes among patients who underwent bronchoscopy for the purpose of evaluation of hemoptysis.
Materials and Methods: This one year retrospective study included all patients who underwent bronchoscopy as part of evaluation of haemoptysis. Collected data was analyzed using SPSS software.
Results: The most common diagnosis determined were pulmonary tuberculosis (31.7%), bronchiectasis (23.7%), bronchogenic carcinoma (13.2%), community acquired pneumonia(10.5 %) and post TB fibrosis (7.9%) Less common etiologies included aspergillosis (2.6%), mucormycosis (2.6%), lung abscess (2.6%) and pulmonary infarct (2.6%). There was one isolated case of bronchogenic carcinoma with pulmonary tuberculosis.
Conclusion: Bronchoscopic evaluation of hemoptysis is beneficial in controlling haemoptysis, determining etiology and is also exceptionally accurate in detecting PTB in sputum negative individuals.
Key words: BAL, AFB, TB, Malignancy, PCR, Haemoptysis