TY - JOUR
T1 - Flexible bronchoscopy in a tertiary healthcare facility
T2 - A review of indications and outcomes
AU - Afriyie-Mensah, Jane S.
AU - Kwarteng, Ernest
AU - Tetteh, John
AU - Sereboe, Lawrence
AU - Forson, Audrey
N1 - Publisher Copyright:
Copyright © 2021 The Author(s).
PY - 2021/3
Y1 - 2021/3
N2 - Objectives: Flexible Fibreoptic bronchoscopy (FFB) is a major diagnostic and therapeutic tool employed largely in respiratory medicine but its use in our country has been quite limited. We performed a retrospective review of the indications, overall diagnostic yield and safety of FFB at the Korle-Bu Teaching Hospital (KBTH). Study Design: Retrospective study Study Setting: Cardiothoracic Unit, Korle-Bu Teaching Hospital Study Participants: All bronchoscopy records from January 2017 - December 2018 Interventions: Eight-five bronchoscopy reports generated over a 2-year period were reviewed. Using a data extraction form, patient's demographic details, indications for FFB, sedation given, specimen obtained and results of investigation, and complications encountered were recorded and entered into SPSS version 22. Descriptive analysis was performed and presented as means and percentages. Results: Suspected lung cancer was the predominant indication for bronchoscopy requests (55.3%). Diagnostic yield of endobronchial biopsy was 86.7% increased to 93.3% when biopsy was combined with bronchial washing cytology. Bronchial washing geneXpert was positive in 20.8% of sputum negative cases, and 20.7% of patients with unresolved pneumonia and bronchiectasis had a positive microbial yield. Overall mild complications occurred in 5.9% of patients with no mortality. Conclusion: Flexible bronchoscopy has a significantly high diagnostic yield, particularly in evaluating lung cancers and undiagnosed lung infections with minimal associated complications, hence increasing its availability in the country and widening the diagnostic scope at the cardiothoracic unit of the Korle-Bu Teaching Hospital.
AB - Objectives: Flexible Fibreoptic bronchoscopy (FFB) is a major diagnostic and therapeutic tool employed largely in respiratory medicine but its use in our country has been quite limited. We performed a retrospective review of the indications, overall diagnostic yield and safety of FFB at the Korle-Bu Teaching Hospital (KBTH). Study Design: Retrospective study Study Setting: Cardiothoracic Unit, Korle-Bu Teaching Hospital Study Participants: All bronchoscopy records from January 2017 - December 2018 Interventions: Eight-five bronchoscopy reports generated over a 2-year period were reviewed. Using a data extraction form, patient's demographic details, indications for FFB, sedation given, specimen obtained and results of investigation, and complications encountered were recorded and entered into SPSS version 22. Descriptive analysis was performed and presented as means and percentages. Results: Suspected lung cancer was the predominant indication for bronchoscopy requests (55.3%). Diagnostic yield of endobronchial biopsy was 86.7% increased to 93.3% when biopsy was combined with bronchial washing cytology. Bronchial washing geneXpert was positive in 20.8% of sputum negative cases, and 20.7% of patients with unresolved pneumonia and bronchiectasis had a positive microbial yield. Overall mild complications occurred in 5.9% of patients with no mortality. Conclusion: Flexible bronchoscopy has a significantly high diagnostic yield, particularly in evaluating lung cancers and undiagnosed lung infections with minimal associated complications, hence increasing its availability in the country and widening the diagnostic scope at the cardiothoracic unit of the Korle-Bu Teaching Hospital.
KW - Bronchoalveolar lavage
KW - Bronchoscopy
KW - Pulmonary tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85106353794&partnerID=8YFLogxK
U2 - 10.4314/GMJ.V55I1.4
DO - 10.4314/GMJ.V55I1.4
M3 - Article
AN - SCOPUS:85106353794
SN - 0016-9560
VL - 55
SP - 18
EP - 25
JO - Ghana Medical Journal
JF - Ghana Medical Journal
IS - 1
ER -