Analysis of fiber optic Bronchoscope findings in Respiratory unit at Al_ Diwanyah teaching hospital in 2014-2015

Abstract

Background: Fiber-Optic bronchoscopy is a diagnostic and

therapeutic tool for the management of the respiratory diseases with high safety profile

Aim of study: To analyse the findings of the fiberoptic bronchoscopies of the included patients in our study..

Patients and Methods:

A retrospective study was done to find out the demographic

profiles, bronchoscopic indication, findings , diagnosis    and complications of the patients who underwent bronchoscopies examinations in the respiratory unit at Aldiwanyah    teaching hospital in 2014 and 2015.

 Results:

Amongst the 102 patients, commonest indication of bronchoscopy  was radiological opacity found in 81.2% of patients, followed by unexplained cough    10% of patients. Most common clinical    presentations of the patients was Cough (81.4%), followed by dyspnea (34.3%).

Out of 102 patients, 61 patients (59.8%) were males, 44 patients

were current smokers.

A 41 patients (40.2%) were females, 21 patients were current smokers.The patient's age range from 15 to 75 years, the mean age of males were 58.8 ± 10.6 and for females were 52 ± 15.4.The most common ?nding on bronchoscopy was abnormal mucosa found in about 55.9% of patients. Malignancy was seen in 46.1% cases, while Tuberculosis seen in 9.8%.

The sequamous cell carcinoma was the most histological type (44.7%) of patient diagnosed with cancer.

In the 102 patient the bronchoscopy done with neither death nor serious complications occurrence likes pneumothorax or cardiac arrest.

The most common complication was mild nasal bleeding during procedure in (24.51%).

Conclusion:

Fiberoptic bronchoscopy is a useful diagnostic test for different lung pathologies with high safety profile regarding sever complications.