Publication: Usefulness of Flexible Airway Endoscopy for the Diagnosis of Pulmonary Diseases in Children
Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Flexible airway endoscopy is a highly valuable procedure for evaluating pediatric
airway and pulmonary disorders. However, its use in our setup is limited.
Objective
The main objective of this study is to analyze indications for flexible airway endoscopy
in our population, explore its diagnostic yield and highlight potential complications.
Method
Seventy flexible airway endoscopies performed in children at Nepal Medical College
and Teaching Hospital from June, 2013 to May, 2015 were analyzed.
Result
Fifty six (80%) of airway endoscopy had a meaningful outcome. Diagnostic yield for
individual indications ranged from 50 to 87.5%. Recurrent/persistent pneumonia was
the most rewarding indication. Complications were minimal and easily reversible.
Conclusion
The overall diagnostic yield of flexible airway endoscopy in our study population was
80%. The procedure was safe with minimal complication. Hence, earlier intervention
and utilization of bronchoscopy should be encouraged after a careful clinical
consideration of patients who could potentially benefit from this procedure.
KEY WORDS
Bronchoscopy, Bronchoalveolar lavage, Flexible bronchoscope
Description
Rijal P, Giri A, Kumar P
Department of Pediatrics
Nepal Medical College and Teaching Hospital,
Kathmandu, Nepal.
Keywords
Bronchoscopy, Bronchoalveolar lavage, Flexible bronchoscope