این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Tanaffos، جلد ۲۴، شماره ۱، صفحات ۶۹-۷۷
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی The Use of Flexible Bronchoscope for Diagnostic Medical Thoracoscopy in a Resource-Limited Setting: A Retrospective Study
چکیده انگلیسی مقاله Background: Exudative pleural effusion (ePE) is a common presentation in pulmonology clinics. Pleural biopsy is indicated for identifying the etiology in undiagnosed ePE, especially those with low adenosine-deaminase levels. Access to rigid and semi-rigid medical thoracoscopy is scarce and heterogeneous in a resource-limited country like India. In such circumstances, using a flexible bronchoscope via an intercostal chest tube for visualization of the parietal pleura and pleural biopsy offers a way out.
Materials and Methods: In this retrospective study, we have presented our experience of such practice on 25 cases. Mean age was 52.4±1 years. Adhesions were present in 40% of the subjects.
Results: The most common finding was the presence of nodules. On average, 6.8 passes were taken with a maximum of 10. In 32% cases, only tiny tissue was obtained, hence requiring multiple passes. Large tissue could be obtained in 44% of the subjects. The mean duration of the procedure was 35.6±9.0 minutes. Tissue diagnosis was established in 80% with the most common being malignancy (48%), followed by tuberculosis (20%). In 3 cases, the final diagnosis was made by exclusion. No major complications were recorded.
Conclusions: In conclusion, medical thoracoscopy using a flexible video bronchoscope via intercostal chest tube was a feasible alternative for the diagnosis of ePE effusion in resource-limited settings.
کلیدواژه‌های انگلیسی مقاله Bronchoscope,Medical Thoracoscopy,tuberculosis,Pleural effusion,Malignant Pleural Effusion
نویسندگان مقاله Rajnish Kaushil |
Department of Pulmonary Medicine, VMMC and Safdarjung Hospital, New Delhi, India

Roopali Dahiya |
Department of Medicine, Dr RML PGIMER, New Delhi, India

Aditya Chaudhry |
Department of Medicine, KCGMC, Karnal, India

Pawan Kumar Singh |
Department of Pulmonary and Critical Care Medicine, Pt B.D. Sharma PGIMS, Rohtak

Aman K Ahuja |
Department of Pulmonary and Critical Care Medicine, Pt B.D. Sharma PGIMS, Rohtak, India

Dhruva Chaudhry |
Department of Pulmonary and Critical Care Medicine, Pt B.D. Sharma PGIMS, Rohtak, India

Geetika Arya |
Department of Anatomy, Pt B.D. Sharma PGIMS, Rohtak

نشانی اینترنتی https://www.tanaffosjournal.ir/article_733722_e7707d194f997a5dbc14c9e468cb4ece.pdf
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات