EBUS: A New Dimension in Bronchoscopy

Hd, Becker

doi:10.1159/000095312

Cited by 27 publications

(9 citation statements)

References 20 publications

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“…Bronchoscopy has been used increasingly in the diagnosis and treatment of tracheobronchial diseases in recent years [20, 21]. Traditionally, RB has been the procedure of choice for the removal of TFBs in children [9].…”

Section: Discussionmentioning

confidence: 99%

Extraction of Pins from the Airway with Flexible Bronchoscopy

2007

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Background: Tracheobronchial foreign body aspiration is a worldwide health problem which often results in life threatening complications. Standard flexible bronchoscopy (FB) is used increasingly in the treatment of tracheobronchial foreign body aspiration in adults and older children, especially in the removal of aspirated foreign bodies which have entered into the peripheral bronchi. Objectives: In the present study, we discuss how to minimize complications and increase the success rate of FB in the aspiration of pins, and recommend techniques to facilitate the application. Methods: The study was performed at a community hospital in Van, the Harran University Hospital in Sanliurfa and the Sutcuimam University Hospital in Kahramanmaras, Turkey. Between 2000 and 2005, 23 female patients between the ages of 12 and 23, who were admitted to the clinics and diagnosed as having tracheobronchial headscarf pin aspirations were included in our study to evaluate the efficiency of FB. Diagnosis of the patients was established by history, FB and radiological methods. All patients received transoral FB under local anesthesia. Results: FB was successfully applied in all cases. During removal, the pins in 2 patients dropped at the proximal trachea and subglottic zone, and were ingested into the gastrointestinal track. In both cases, the pins were spontaneously excreted from the body in the stool within one day. No other complication was detected in the other patients during or following bronchoscopy. Conclusions: Our study suggests that FB is a safe, easy and successful method used in the removal of foreign bodies, such as pins, from the tracheobronchial trees. By employing FB, indications of thoracotomy and other invasive methods can be reduced especially in the cases of pins localized in distal airways and in the evaluation of suspected foreign bodies.

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Section: Discussionmentioning

confidence: 99%

Extraction of Pins from the Airway with Flexible Bronchoscopy

2007

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“…Both ultrasound probes (radial with a balloon-20 MHz and the convex one-7.5 MHz) allow better visualization of the tracheobronchial wall and mediastinal structures. [5] In the present case, EBUS detected easily the cystic lesion determining further its extent and relation to the airway wall and key anatomic structures and characterizing the intrinsic composition of its content. More specifically, ultrasound image showed a hypoechoic lesion with fine internal echoes within it thus suggesting mainly a viscous fluid-filled cyst.…”

Section: Discussionmentioning

confidence: 58%

Endobronchial Ultrasound: A Useful Tool in the Diagnosis of Bronchogenic Cyst

Katsenos

Rojas-Solano

Becker

2013

Journal of Clinical Imaging Science

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Diagnosis of bronchogenic cysts is possible with computed tomography, where the cysts are seen usually as well-circumscribed lesions of water density. However, many of the cysts have a soft-tissue density thus rendering them indistinguishable from neoplasms. In this article, we describe a case of bronchogenic cyst presenting as soft-tissue mass that was evaluated and diagnosed by endobronchial ultrasound (EBUS). We discuss the ultrasound image characteristics of the cyst and its histopathology findings. EBUS seems to be a valuable tool in the diagnosis of bronchogenic cysts and also enables their complete aspiration.

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“…A better imaging modality was increasingly felt necessary for lung cancer staging. In the late 1980s endoscopic ultrasound (EUS) was introduced in gastroenterology 3. However the same could not be used for all mediastinal structures due to interference of air, since air cannot conduct ultrasound waves.…”

Section: Historymentioning

confidence: 99%

Endobronchial ultrasound: A new innovation in bronchoscopy

Thangakunam

Herth

2009

Lung India

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Technical development in last two decades has made it possible for pulmonologists to do endobronchial ultrasound (EBUS). With EBUS mini-probe, the multilayered structure of the tracheobronchial wall can be analyzed better than any other imaging modality. Instead of fluoroscopic guided biopsy, EBUS can be used to biopsy peripheral lesions. EBUS-transbronchial needle aspiration has proved valuable for mediastinal lymph node staging of lung cancer. Studies have shown that EBUS is cost-effective as it reduces the need for more morbid and costly invasive procedure like mediastinoscopy or thoracotomy. Prospective studies are needed in India to see how EBUS will help in populations with high prevalence of tuberculosis.

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EBUS: A New Dimension in Bronchoscopy

Cited by 27 publications

References 20 publications

Extraction of Pins from the Airway with Flexible Bronchoscopy

Extraction of Pins from the Airway with Flexible Bronchoscopy

Endobronchial Ultrasound: A Useful Tool in the Diagnosis of Bronchogenic Cyst

Endobronchial ultrasound: A new innovation in bronchoscopy

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