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Bronchoscopic Findings and Diagnostic Yield of Flexible Bronchoscopy: Experience from a Tertiary Care Hospital

Year: 2026

Type: article

Abstract: Background: Bronchoscopy is the basic fundamental diagnostic tool for the evaluation of endobronchial disease. This study aimed to describe the bronchoscopic findings and diagnostic yield of flexible bronchoscopy at a tertiary care hospital. Methods: A retrospective descriptive observational study of fiberoptic bronchoscopy (FOB) was performed in Respiratory Medicine Department of Mugda Medical College Hospital, Dhaka during the period of January 2022 to December 2023 Flexible bronchoscopy was performed, and bronchial washing, brushing, and biopsy specimens were collected when indicated. Results: Here we observed 200 cases of bronchoscopy. Out of 200 cases, there were 146 males and 54 females. Most patients (70%) were aged 50–60 years. Among males 100 (68%) and females 13 (24%) were smoker. Patients presented with COPD 24(12%), TB 36(18%), mass lesion 64(32%), pleural effusion 23 (11.5%), collapse 24(12%), consolidation 10(5%), hemoptysis7(3.5%), hoarseness of voice 4 (2%), DPLD 4(2%), Bronchiectasis 4(2%). Bronchial washings were done in 133 cases and brushing in 133 cases and common location for both was right upper lobe and left lower lobe, Bronchial biopsy was performed in 64 patients, most commonly from the right main bronchus and right upper lobe. Among patients bronchial tree was normal 94(47%), inflamed 44(22%), endobronchial growth 54(27%), suspected TB 4(2%), Vocal cord polyp 3(1.5%) and isolated vocal cord palsy1(0.5%). Histopathological diagnosis of bronchoscopic biopsy was Adenocarcinoma 48%, Squamous cell carcinoma 37%, Small cell carcinoma 8% and Tuberculosis 7%. Conclusion: The accurate use of conventional bronchoscopy and its technique in the experienced respiratory interventionists will improve the diagnostic and therapeutic outcomes of those patients suffering from respiratory diseases.

Source: Shaheed Syed Nazrul Islam Medical College journal.

DOI: 10.69699/ssnimcj.2026.11.2.15