Role of Fiberoptic Bronchoscopy in Patients with Hemoptysis and a Normal Chest Roentgenogram

Jackson, Cary; Savage, Patrick J.; D, Quinn

doi:10.1378/chest.87.2.142

Cited by 51 publications

(17 citation statements)

References 16 publications

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“…They concluded that in such patients routine FOB may not always be indicated to rule out malignancy. 3 In present study apart from identifying the site of bleeding, FOB in patients with hemoptysis and normal chest x-ray did not add much to the diagnosis or management of such patient which is consistent with most available literature.…”

Section: Resultssupporting

confidence: 88%

“…2 But, on average 10-30% of cases with hemoptysis remain undiagnosed. 3 Investigating case of hemoptysis is often difficult, especially in patients presenting with a normal chest X-ray, which amounts to 20-30% of total hemoptysis cases. 4 The diagnostic indications of flexible bronchoscopy are varied, the spectrum ranging from evaluation of cough, abnormal chest roentgenogram, haemoptysis, refractory lung abscess, diaphragmatic and /or vocal cord palsy, thoracic trauma to suspected pulmonary infections, congenital anomalies, pulmonary malignancies, foreign bodies in the tracheobronchial tree, assessment of endotracheal tube placement and related injuries and research.…”

Section: Introductionmentioning

confidence: 99%

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Role of fibreoptic bronchoscopy in cases of hemoptysis with normal chest radiograph

et al. 2016

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Section: Resultssupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Role of fibreoptic bronchoscopy in cases of hemoptysis with normal chest radiograph

et al. 2016

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“…In our population, bronchogenic carcinoma was an uncommon finding, presented in only 8.6% (2/23). This rate was comparable to 2.5% by Heimer et al and 3% by Jackson et al 33,34 Some authors carried out a thorough investigation to find other causes of hemoptysis such as infection. Mcguinnes et al found bronchiectasis in 25 of 57 of patients as the most common cause of hemoptysis.…”

Section: Discussionsupporting

confidence: 74%

To assess the role fiberoptic bronchoscopy in the evaluation of hemoptysis

Songara¹,

Mukherjee²,

Shikha³

et al. 2016

Int J Res Med Sci

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“…The diagnosis is more difficult in patients presenting with normal chest radiographs. In such patients, CT scanning and fiber-optic bronchoscopy with bronchial wash, bronchoalveolar lavage fluid cytology and/or endobronchial, transbronchial biopsy play an important role [4,5,6]. It remains undetermined whether these procedures provide a cost-effective yield for the investigation of patients presenting with hemoptysis and negative chest radiograph [7, 8].…”

Section: Introductionmentioning

confidence: 99%

A Prospective Analysis of 184 Hemoptysis Cases – Diagnostic Impact of Chest X-Ray, Computed Tomography, Bronchoscopy

et al. 2006

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Background:The clinical presentation of hemoptysis often raises a number of diagnostic possibilities. Objectives:This study was designed to evaluate the relative frequency of different causes of hemoptysis and the value of chest radiography, computed tomography (CT) scanning and fiber-optic bronchoscopy in the evaluation of a Greek cohort population. Methods:We prospectively followed a total of 184 consecutive patients (137 males/47 females, 145 smokers/39 nonsmokers) admitted with hemoptysis between January 2001 and December 2003 to the University Hospital of Heraklion. Follow-up data were collected on August 2005. Results:The main causes of hemoptysis were bronchiectasis (26%), chronic bronchitis (23%), acute bronchitis (15%) and lung cancer (13%). Bronchiectasis was significantly more frequent in nonsmokers (p < 0.02). Among nonsmokers, patients with moderate/severe bleeding or a history of tuberculosis were more likely to have bronchiectasis (OR 8.25; 95% CI 1.9–35.9, p = 0.007 and OR 16.5; 95% CI 1.7–159.1, p = 0.007, respectively). Nonsmokers with normal or abnormal X-rays were equally likely to have bronchiectasis (OR 2.5; 95% CI 0.66–9.39, p = 0.2). Lung cancer was only found in smokers. Smokers with normal X-rays were less likely to have lung cancer compared to smokers with abnormal X-ray (OR 5.4; 95% CI 1.54–19.34, p = 0.004). There were no smokers with normal CT and lung cancer. Follow-up data were collected in 91% of patients. Lung cancer did not develop in any patient assumed to have hemoptysis of another origin than lung cancer on initial evaluation. Conclusions:Bronchiectasis is the main diagnosis in patients admitted with hemoptysis to a Greek University Hospital and it is more frequent among nonsmokers with moderate/severe bleeding and/or previous tuberculosis infection. Nonsmokers with moderate/severe hemoptysis and/or a history of tuberculosis should be evaluated with high-resolution CT. Smokers with hemoptysis are at increased risk for lung cancer and need to be extensively evaluated with chest CT and bronchoscopy.

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Role of Fiberoptic Bronchoscopy in Patients with Hemoptysis and a Normal Chest Roentgenogram

Cited by 51 publications

References 16 publications

Role of fibreoptic bronchoscopy in cases of hemoptysis with normal chest radiograph

Role of fibreoptic bronchoscopy in cases of hemoptysis with normal chest radiograph

To assess the role fiberoptic bronchoscopy in the evaluation of hemoptysis

A Prospective Analysis of 184 Hemoptysis Cases – Diagnostic Impact of Chest X-Ray, Computed Tomography, Bronchoscopy

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