Bronchoscopy (diagnostic)

What is a diagnostic bronchoscopy?

A diagnostic bronchoscopy is a procedure in which the airways are examined with the use of a tool known as a bronchoscope. The bronchoscope is a flexible instrument that comprises a light and a camera. When it is guided through the nose or mouth and into the throat and lungs, your doctor will be able to view your respiratory system in detail.

When is a diagnostic bronchoscopy recommended?

A bronchoscopy can be used to investigate and diagnose a number of conditions, including:

• Persistent cough: When a cough persists despite treatment or if there are concerns about its underlying cause.
• Unexplained lung infections: To identify the source of recurrent or chronic lung infections, such as pneumonia or bronchitis.
• Suspected lung cancer: To obtain tissue samples for biopsy and determine the presence of lung cancer.
• Difficulty breathing: When there are unexplained breathing difficulties or shortness of breath.
• Abnormal chest X-rays or CT scans: To further investigate abnormalities detected on imaging tests.
• Evaluation of airway abnormalities: To assess conditions such as strictures, tumours, or foreign bodies in the airways.

If you have experienced symptoms of any of these conditions, a bronchoscopy may be recommended. In cases of an abnormal chest x-ray or CT scan, the test is often performed to confirm a diagnosis.

What does diagnostic bronchoscopy involve?

During a diagnostic bronchoscopy procedure, patients are usually given a mild sedative to help them relax, and a local anaesthetic is applied to the throat to minimise discomfort. The bronchoscope, a thin, flexible tube with a light and camera at its tip, is then gently inserted through the mouth or nose and guided down into the airways.

Once the bronchoscope is in place, the pulmonologist carefully examines the airways, looking for any abnormalities, lesions, or blockages. If necessary, tools can be passed through the bronchoscope to collect tissue samples (biopsies), remove foreign objects, or perform other interventions.

Throughout the procedure, the patient's vital signs are monitored closely, and any discomfort is managed promptly. Following the completion of the bronchoscopy, patients are observed for a short period to ensure there are no immediate complications.

FAQ

1. What can I expect after the procedure? 2. Are there any risks or complications? 3. When will I get my results?