The role of bronchology in pneumological diagnostics

Česká verzia

Authors: František Salajka
Authors place of work: Plicní klinika LF UK a FN Hradec Králové
Published in the journal: Vnitř Lék 2017; 63(11): 895-899
Category: Reviews

Summary

Bronchoscopic examination has a key role in diagnosing or further specifying of a broad spectrum of respiratory diseases. Although classic bronchoscopy with its rigid instrumentation still upholds its position, the vast majority of procedures are performed with flexible bronchoscopes. Diagnostic possibilities are broadened by new technical findings and procedures, such as endobronchial ultrasonography, examination through autofluorescence, navigated bronchoscopy and others. The material for cytological, microbiological or other examinations can be sampled through a whole number of procedures using specialized instruments. In the hands of an experienced bronchologist it is a safe method accompanied by only a minimum serious complications.

Key words:
bronchoalveolar lavage – diagnostic bronchoscopy – endobronchial ultrasonography – flexible bronchoscope

Zdroje

1. Becker HD. A short history of bronchoskopy. In: Ernst A (ed.): Introduction to Bronchoscopy. Cambridge University Press 2009: 1–16. ISBN 9780511575334. Dostupné z DOI: https://doi.org/10.1017/CBO9780511575334

2. Miyazawa T. History of the Flexible Bronchosope. In: Bolliger CT, Mathur PN (eds): Interventional Bronchoscopy. Karger 2000: 16–21. ISBN 978–3-8055–6851–7. e-ISBN 978–3-318–00415–1.

3. Wagner M, Ficker JH (eds). Autofluorescence Bronchoscopy. UNI-MED Verlag: Bremen, Germany 2007. ISBN 978–3-89599–956–7.

4. Sutedja TG, Codrington H, Risse EK et al. Autofluorescence Bronchoscopy Improves Staging of Radiographically Occult Lung Cancer and Has an Impact on Therapeutic Strategy. Chest 2001; 120(4): 1327–1332.

5. Rooney CP, Wolf K, McLennan G. Ultrathin Bronchoscopy as an Adjunct to Standard Bronchoscopy in the Diagnosis of Peripheral Lung Lesions. Respiration 2002; 69(1): 63–68.

6. Thiberville L, Salaün M, Bourg-Heckly G. In vivo confocal microendoscopy: from the proximal bronchus down to the pulmonary acinus. In: Strausz J, Bolliger CT (ed): Interventional pulmonology. Eur Respir Mon 2010; 48: 73–89.

7. Whiteman SC, Yang Y, van Pittius DG et al. Optical coherence tomography: real-time imaging of bronchial airways microstructure and detection of inflammatory/neoplastic morphologic changes. Clin Cancer Res 2006; 12(3 Pt 1): 813–818.

8. Edell E, Krier-Morrow D. Navigational Bronchoscopy. Overview of Technology and Practical Considerations – New Current Procedural Terminology Codes Effective 2010. Chest 2010; 137(2): 450–454. Dostupné z DOI: <http://dx.doi.org/10.1378/chest.09–2003>.

9. Jackson C. Bronchoscopy and Esophagoscopy. W. B.Saunders: 1922. Project Gutenberg. e-books.Dostupné z WWW: <https://www.gutenberg.org>.

10. Vašáková M, Polák J, Matěj R. Intersticiální plicní procesy. Od etiopatogeneze přes radiologický obraz k histopatologické diagnóze. Maxdorf Jessenius: Praha 2011. ISBN 978–80–7345–251–3.