Clinical Characteristic of Fiberoptic Bronchoscopy Procedure in Pulmonary Diseases in Dr. Moewardi Hospital Surakarta


Agung Setiadi, Ana Rima, Jatu Aphridasari, Yusup Subagyo Sutanto

Departemen Pulmonologi dan Ilmu Kedokteran Respirasi, Fakultas Kedokteran Universitas Sebelas Maret, Rs Dr. Moewardi, Surakarta


Background: Bronchoscopy is a common invasive diagnostical procedure in clinical respiratory practice.This study described characteristic of patients who had performed fiberoptic bronchoscopy in Dr. Moewardi hospital. Methods: This study design was retrospective descriptive on 219 patients who had performed bronchoscopy procedure in Dr. Moewardi hospital from October 1st 2012 until October 31st 2013. Result: Bronchoscopy was performed in 219 patients, male (64.84%) was more common than female (35.16%). The initial diagnoses before procedure were lung tumor 45.66%, malignant pleural effusion (20.55%), mediastinal tumor (12.33%), atelectasis (3.20%), haemoptisis (3.20%), pneumothorax (4.11%), suspected endobronchial tuberculosis (1.37%), foreign body in the airway (0.46%), lung abces (1.83%), lung metastase (4.57%), bullous disease (0.46%), lymphadenopathy coli (0.46%), suspected esophageal rupture (0.46%), and empyema (1.37%). The most common abnormal appearance found was compression stenosis (31.96%), bronchial brushing was performed in 13 lung tumor patients and 1 patient (7,69%) was positive for non small cell lung carcinoma (NSCLC), bronchial washing was performed in 81 patients and 2 patients (2.47%) were positive for NSCLC. Conclusion: Compression stenosis in lung tumor, malignant pleural effusion and mediastinal tumor was the most common appearance broncoscopy procedure. NSCLC is more common histopathological finding in bronchial brushing than bronchial washing. (J Respir Indo. 2014; 34: 122-6)

Keywords: bronchoscopy, lung tumor, pleural effusion.

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