Medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases: safety and usefulness
Background Diffuse parenchymal lung diseases (DPLD) compromise heterogeneous subtypes. Establishing an accurate diagnosis is paramount. Lung tissue biopsy is the gold standard diagnostic tool. Aim To assess the role of medical thoracoscopy with electrocautery in the diagnosis of DPLD. Patients and m...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2021;volume=70;issue=1;spage=107;epage=112;aulast=Abdel-Ati |
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| author | Hesham E Abdel-Ati Ahmed A Khames Amr M Allama Sami S El-Dahdouh Bishoy B Tawadros Los Maha Yousif |
| author_facet | Hesham E Abdel-Ati Ahmed A Khames Amr M Allama Sami S El-Dahdouh Bishoy B Tawadros Los Maha Yousif |
| author_sort | Hesham E Abdel-Ati |
| collection | DOAJ |
| description | Background Diffuse parenchymal lung diseases (DPLD) compromise heterogeneous subtypes. Establishing an accurate diagnosis is paramount. Lung tissue biopsy is the gold standard diagnostic tool.
Aim To assess the role of medical thoracoscopy with electrocautery in the diagnosis of DPLD.
Patients and methods A total of 20 patients who had undiagnosed DPLD on chest high-resolution computed tomography were randomly selected from Menoufia Chest Department from March 2017 to March 2019. Lung biopsy was taken by medical thoracoscopy under conscious sedation with the aid of electrocautery device.
Results A total of 12 (60%) patients were males, and seven (35%) patients were smokers. The mean age was 58.1±10.5 years. High-resolution computed tomography patterns were reticulonodular (65%), ground glass (35%), miliary shadow (15%), and consolidation (15%). Diagnoses were granulomatous lung disease (40%), idiopathic interstitial pneumonias (30%), malignant lung disease (15%), and interstitial lung disease secondary to rheumatoid disease (10%). One (5%) case remained undiagnosed. The mean duration of hospital stay for the studied group was 1.95 days, ranging from 1 to 6 days. Recorded complications were air leak (5%), wound infection (5%), and surgical emphysema (5%). There were no reported mortalities.
Conclusions Medical thoracoscope is a safe, effective, and feasible method to obtain lung biopsies for diagnosis of DPLD. |
| first_indexed | 2024-12-24T01:57:15Z |
| format | Article |
| id | doaj.art-196a78f924464aadb192c77f58ddd0e2 |
| institution | Directory Open Access Journal |
| issn | 0422-7638 2090-9950 |
| language | English |
| last_indexed | 2024-12-24T01:57:15Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-196a78f924464aadb192c77f58ddd0e22022-12-21T17:21:32ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382090-99502021-01-0170110711210.4103/ejcdt.ejcdt_77_20Medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases: safety and usefulnessHesham E Abdel-AtiAhmed A KhamesAmr M AllamaSami S El-DahdouhBishoy B Tawadros LosMaha YousifBackground Diffuse parenchymal lung diseases (DPLD) compromise heterogeneous subtypes. Establishing an accurate diagnosis is paramount. Lung tissue biopsy is the gold standard diagnostic tool. Aim To assess the role of medical thoracoscopy with electrocautery in the diagnosis of DPLD. Patients and methods A total of 20 patients who had undiagnosed DPLD on chest high-resolution computed tomography were randomly selected from Menoufia Chest Department from March 2017 to March 2019. Lung biopsy was taken by medical thoracoscopy under conscious sedation with the aid of electrocautery device. Results A total of 12 (60%) patients were males, and seven (35%) patients were smokers. The mean age was 58.1±10.5 years. High-resolution computed tomography patterns were reticulonodular (65%), ground glass (35%), miliary shadow (15%), and consolidation (15%). Diagnoses were granulomatous lung disease (40%), idiopathic interstitial pneumonias (30%), malignant lung disease (15%), and interstitial lung disease secondary to rheumatoid disease (10%). One (5%) case remained undiagnosed. The mean duration of hospital stay for the studied group was 1.95 days, ranging from 1 to 6 days. Recorded complications were air leak (5%), wound infection (5%), and surgical emphysema (5%). There were no reported mortalities. Conclusions Medical thoracoscope is a safe, effective, and feasible method to obtain lung biopsies for diagnosis of DPLD.http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2021;volume=70;issue=1;spage=107;epage=112;aulast=Abdel-Atidiffuse parenchymal lung diseaseselectrocauterymedical thoracoscope |
| spellingShingle | Hesham E Abdel-Ati Ahmed A Khames Amr M Allama Sami S El-Dahdouh Bishoy B Tawadros Los Maha Yousif Medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases: safety and usefulness Egyptian Journal of Chest Disease and Tuberculosis diffuse parenchymal lung diseases electrocautery medical thoracoscope |
| title | Medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases: safety and usefulness |
| title_full | Medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases: safety and usefulness |
| title_fullStr | Medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases: safety and usefulness |
| title_full_unstemmed | Medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases: safety and usefulness |
| title_short | Medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases: safety and usefulness |
| title_sort | medical thoracoscopic lung biopsy in diffuse parenchymal lung diseases safety and usefulness |
| topic | diffuse parenchymal lung diseases electrocautery medical thoracoscope |
| url | http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2021;volume=70;issue=1;spage=107;epage=112;aulast=Abdel-Ati |
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