Transbronchial Lung Biopsy

Jain, Prasoon; Hadique, Sarah; Mehta, Atul C.

doi:10.1007/978-1-62703-395-4_2

Cited by 10 publications

(13 citation statements)

References 194 publications

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“…4,13,17 Nontuberculous mycobacteria can be detected intermittently in the sputum, 14 posing a challenge to appropriate diagnosis. In addition, their presence does not necessarily mean infection, but can rather be colonization or contamination of the sputum specimen.…”

Section: Immunocompromised Patientsmentioning

confidence: 99%

Use of Flexible Bronchoscopy in the Diagnosis of Infectious Etiologies

Houshmand

Ogake

Bowling

et al. 2016

Clinical Pulmonary Medicine

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Section: Immunocompromised Patientsmentioning

confidence: 99%

Use of Flexible Bronchoscopy in the Diagnosis of Infectious Etiologies

Houshmand

Ogake

Bowling

et al. 2016

Clinical Pulmonary Medicine

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“…In case of lung reexpansion failure or incomplete lung re-expansion using Heimlich's valve, especially when severe symptoms are present, it is mandatory to place a chest tube drainage system. If pneumothorax is encountered in patients mechanically ventilated, it is also mandatory to place a chest tube system without delay [46].…”

Section: Complicationsmentioning

confidence: 99%

“…Few post-TBBx bleeding cases need endotracheal tubes to secure the airways, balloon tamponade, or even contralateral lung selective intubation. The existing literature recommends that the bronchoscopy suites should be able to sustain a possible rigid bronchoscopy intubation as ultimate safety solution for these special cases, if the bleeding cannot be controlled only with the help of flexible bronchoscope [46].…”

Section: Complicationsmentioning

confidence: 99%

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How to Sample the Unreachable: Transbronchial Biopsy

Olteanu¹,

Niţu²,

Golli³

et al. 2019

Endoscopy - Novel Techniques and Recent Advancements

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Transbronchial biopsy (TBBx) or bronchoscopic lung biopsy (BLBx) should be a diagnosis tool for focal peripheral lesions and for diffuse lung disease in every bronchoscopic suite around the world. The main advantage of this procedure is that it avoids open lung surgery for peripheral lung biopsy. The procedure is usually safe and can be done in an outpatient setting with moderate sedation, but life-threatening complications can occur, so a proper evaluation of the risk benefits ratio should be carefully analyzed before the intervention. There is no need for guidance in diffuse peripheral lesions, but for localized peripheral lesions, the diagnostic yield of TBBx is significantly higher with fluoroscopic guidance. In this chapter, we assess the utility, indications, and contraindication of this technique, as well as its clinical applications and complications.

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“…Care is warranted in interpreting the literature on diagnostic yield of TBLB because most authors have included nonspecific fibrosis or organizing pneumonia in the diagnostic yield and only a few have applied more stringent criteria for pathologic interpretation of TBLB specimens. Nonspecific findings on TBLB are often unhelpful and can lead to erroneous clinical decisions, [15] TBLB is generally safe, although severe and lives threatening procedure-related complications are occasionally encountered. According to a recent nationwide survey from Japan, the complication rate after forceps biopsy for a peripheral pulmonary lesion was 1.79 %.…”

Section: Introductionmentioning

confidence: 99%

Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows

Abumossalam¹

2015

IJMI

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Abstract:Background: Transbronchial lung biopsy (TBLB) is one of the most imperative applications of flexible bronchoscopy that may preclude the need for an open lung biopsy. A real-time ultrasonographic guidance may increase the diagnostic yield of TBLB. Purpose: The aim of this study is to evaluate the diagnostic yield of a real-time transthoracic ultrasound-guided transbronchial lung biopsy (TTUS-TBLB) in different pulmonary shadows. Patients and methods: One hundred and seventeen patients with radiological pulmonary shadows were submitted for fiberoptic bronchscopy and underwent either conventional TBLB (cTBLB) that only supported by prior localization with chest computed tomography (CT) in 84 patients (group 1) or under a real-time TTUS-TBLB in 33 patients (group 2). Results: The overall diagnostic yield of TBLB was 74.4% (87 cases out of 117; 79 cases by the first TBLB and 8 cases by second TBLB). The final diagnosis of the enrolled patients was; fifty two cases proved to be malignant (42 cases diagnosed by TBLB) and sixty five cases proved to be nonmalignant (45 cases diagnosed by TBLB). TTUS-TBLB achieved diagnosis in 81.81% of cases and cTBLB achieved diagnosis in 71.43%. Conclusion: The results of real-time TTUS-TBLB were promising and may improve the overall diagnostic yield of TBLB in either benign or malignant pulmonary shadows.

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Transbronchial Lung Biopsy

Cited by 10 publications

References 194 publications

Use of Flexible Bronchoscopy in the Diagnosis of Infectious Etiologies

Use of Flexible Bronchoscopy in the Diagnosis of Infectious Etiologies

How to Sample the Unreachable: Transbronchial Biopsy

Exobronchial Pulmonary Eye: Transthoracic Ultrasound-Guided Transbronchial Lung Biopsy in Different Pulmonary Shadows

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