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Document Type |
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Article In Journal |
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Document Title |
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Bronchoscopy indications, safety and complications Bronchoscopy indications, safety and complications |
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Document Language |
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English |
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Abstract |
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OBJECTIVE: To review the safety, indications, complications of flexible fiberoptic bronchoscopies performed at university teaching hospital, and to correlate the bronchoscopic findings with radiology, histology, and history of smoking.
METHODS: A total of 124 consecutive flexible fiberoptic bronchoscopies were reviewed in the last 3 years. A special form that contains personal data, indications, premedications, route of insertion, bronchoscopic findings, and complications in subjects-undergone bronchoscopy was completed.
RESULTS: A suspicion of pulmonary tuberculosis (31%), lung mass (19%) and hemoptysis (18%) were the most common indications. Hypoxemia (14%) during procedure and pneumothorax post procedure were the most common complications. Mortality rate was 0%. For 57% of subjects who had histology, lung cancer (44%), and tuberculosis (15.5%) were commonly found. Lung cancer (72%) and tuberculosis granuloma (18%) were mainly responsible for narrow segments during bronchoscopy. A radiological tumor like mass was found histopathologically to be as lung cancer in 86% and as tuberculous granuloma in 5%. About 84% of lung cancer patients were either smokers (57%) or ex-smokers (27%) as compared to only 35% in smokers and 13% in ex-smokers in patients without lung cancer, P-value<0.01.
CONCLUSION: Flexible fiberoptic bronchoscopy can be performed safely whenever indicated. Complications occurred were minor and self limiting. Appropriate preparation, and close supervision and adherence to the protocol were essential for a successful and safe procedure |
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ISSN |
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1658-3175 |
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Journal Name |
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The Saudi Medical Journal |
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Volume |
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21 |
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Issue Number |
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11 |
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Publishing Year |
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1421 AH
2000 AD |
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Article Type |
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Article |
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Added Date |
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Friday, October 16, 2009 |
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Researchers
| عمر العمودي | Alamoudi, Omer | Investigator | Doctorate | |
| سوزان عطار | Attar, Suzan | Researcher | Doctorate | |
| توفيق غبره | Ghabrah, Tawfik | Researcher | Doctorate | |
| محمد القصيمي | Kassimi, Mohammed | Researcher | Doctorate | |
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