Abstract
Fibreoptic bronchoscopy was introduced more than 10 years ago and is now in many centres a routine diagnostic procedure, having superseded rigid bronchoscopy. Its major role is in the diagnosis of bronchial carcinoma, where the results are as good as, if not better than, results with the rigid instrument. Other major applications have been found in investigating haemoptysis, transbronchial lung biopsy in interstitial lung disease, and in the critically ill patient in the intensive care unit. More recently, the instrument has been used to perform bronchoalveolar lavage in investigating interstitial lung diseases and to enable lobar and segmental lung function studies to be performed. Fibreoptic bronchoscopy is a major advance in the diagnosis of pulmonary diseases, but there will always be times when rigid bronchoscopy is preferable.
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- Barrett C. R., Jr, Vecchione J. J., Bell A. L., Jr Flexible fiberoptic bronchoscopy for airway management during acute respiratory failure. Am Rev Respir Dis. 1974 Apr;109(4):429–434. doi: 10.1164/arrd.1974.109.4.429. [DOI] [PubMed] [Google Scholar]
- Borgeskov S., Francis D. A comparison between fine-needle biopsy and fiberoptic bronchoscopy in patients with lung lesions. Thorax. 1974 May;29(3):352–354. doi: 10.1136/thx.29.3.352. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brody A. R., Craighead J. E. Cytoplasmic inclusions in pulmonary macrophages of cigarette smokers. Lab Invest. 1975 Feb;32(2):125–132. [PubMed] [Google Scholar]
- Clarke S. W., Knight R. K. Fibreoptic bronchoscopy. Part I: TECHNIQUE AND APPRAISAL. Practitioner. 1977 Jan;218(1303):119–122. [PubMed] [Google Scholar]
- Credle W. F., Jr, Smiddy J. F., Elliott R. C. Complications of fiberoptic bronchoscopy. Am Rev Respir Dis. 1974 Jan;109(1):67–72. doi: 10.1164/arrd.1974.109.1.67. [DOI] [PubMed] [Google Scholar]
- Cunanan O. S. The flexible fiberoptic bronchoscope in foreign body removal. Experience in 300 cases. Chest. 1978 May;73(5 Suppl):725–726. [PubMed] [Google Scholar]
- Cunningham J. H., Zavala D. C., Corry R. J., Keim L. W. Trephine air drill, bronchial brush, and fiberoptic transbronchial lung biopsies in immunosuppressed patients. Am Rev Respir Dis. 1977 Feb;115(2):213–220. doi: 10.1164/arrd.1977.115.2.213. [DOI] [PubMed] [Google Scholar]
- Ellis J. H., Jr Transbronchial lung biopsy via the fiberoptic bronchoscope. Experience with 107 consecutive cases and comparison with bronchial brushing. Chest. 1975 Oct;68(4):524–532. doi: 10.1378/chest.68.4.524. [DOI] [PubMed] [Google Scholar]
- Gee J. B., Fick R. B., Jr Bronchoalveolar lavage. Thorax. 1980 Jan;35(1):1–8. doi: 10.1136/thx.35.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HUGH-JONES P., WEST J. B. Detection of bronchial and arterial obstruction by continuous gas analysis from individual lobes and segments of the lung. Thorax. 1960 Jun;15:15–64. doi: 10.1136/thx.15.2.154. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Haslam P. L., Turton C. W., Heard B., Lukoszek A., Collins J. V., Salsbury A. J., Turner-Warwick M. Bronchoalveolar lavage in pulmonary fibrosis: comparison of cells obtained with lung biopsy and clinical features. Thorax. 1980 Jan;35(1):9–18. doi: 10.1136/thx.35.1.9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hocking W. G., Golde D. W. The pulmonary-alveolar macrophage (first of two parts). N Engl J Med. 1979 Sep 13;301(11):580–587. doi: 10.1056/NEJM197909133011104. [DOI] [PubMed] [Google Scholar]
- Hodgkin J. E., Andersen H. A., Rosenow E. C., 3rd Diagnosis of Pneumocystis carinii pneumonia by transbronchoscopic lung biopsy. Chest. 1973 Nov;64(5):551–554. doi: 10.1378/chest.64.5.551. [DOI] [PubMed] [Google Scholar]
- Ikeda S. Flexible bronchofiberscope. Ann Otol Rhinol Laryngol. 1970 Oct;79(5):916–923. doi: 10.1177/000348947007900507. [DOI] [PubMed] [Google Scholar]
- Knight R. K., Clarke S. W. An analysis of the first 300 fibreoptic bronchoscopies at the Brompton Hospital. Br J Dis Chest. 1979 Apr;73(2):113–120. [PubMed] [Google Scholar]
- Kovnat D. M., Rath G. S., Anderson W. M., Snider G. Maximal extent of visualization of bronchial tree by flexible fiberoptic bronchoscopy. Am Rev Respir Dis. 1974 Jul;110(1):88–90. doi: 10.1164/arrd.1974.110.1.88. [DOI] [PubMed] [Google Scholar]
- Kvale P. A., Bode F. R., Kini S. Diagnostic accuracy in lung cancer; comparison of techniques used in association with flexible fiberoptic bronchoscopy. Chest. 1976 Jun;69(6):752–757. doi: 10.1378/chest.69.6.752. [DOI] [PubMed] [Google Scholar]
- Levin D. C., Wicks A. B., Ellis J. H., Jr Transbronchial lung biopsy via the fiberoptic bronchoscope. Am Rev Respir Dis. 1974 Jul;110(1):4–12. doi: 10.1164/arrd.1974.110.1.4. [DOI] [PubMed] [Google Scholar]
- Marsh B. R., Frost J. K., Erozan Y. S., Carter D. Diagnosis of early bronchogenic carcinoma. Chest. 1978 May;73(5 Suppl):716–717. doi: 10.1378/chest.73.5_supplement.716. [DOI] [PubMed] [Google Scholar]
- Martini N., McCormick P. M. Assessment of endoscopically visible bronchial carcinomas. Chest. 1978 May;73(5 Suppl):718–720. doi: 10.1378/chest.73.5_supplement.718. [DOI] [PubMed] [Google Scholar]
- Phillips M. J., Knight R. K., Green M. Fibreoptic bronchoscopy and diagnosis of pulmonary lesions in lymphoma and leukaemia. Thorax. 1980 Jan;35(1):19–25. doi: 10.1136/thx.35.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Richardson R. H., Zavala D. C., Mukerjee P. K., Bedell G. N. The use of fiberoptic bronchoscopy and brush biopsy in the diagnosis of suspected pulmonary malignancy. Am Rev Respir Dis. 1974 Jan;109(1):63–66. doi: 10.1164/arrd.1974.109.1.63. [DOI] [PubMed] [Google Scholar]
- SOMNER A. R., HILLIS B. R., DOUGLAS A. C., MARKS B. L., GRANT I. W. Value of bronchoscopy in clinical practice; a review of 1,109 examinations. Br Med J. 1958 May 10;1(5079):1079–1084. doi: 10.1136/bmj.1.5079.1079. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sackner M. A. Bronchofiberscopy. Am Rev Respir Dis. 1975 Jan;111(1):62–88. doi: 10.1164/arrd.1975.111.1.62. [DOI] [PubMed] [Google Scholar]
- Sanderson D. R., Fontana R. S., Woolner L. B., Bernatz P. E., Payne W. S. Bronchoscopic localization of radiographically occult lung cancer. Chest. 1974 Jun;65(6):608–612. doi: 10.1378/chest.65.6.608. [DOI] [PubMed] [Google Scholar]
- Santa Cruz R., Landa J., Hirsch J., Sackner M. A. Tracheal mucous velocity in normal man and patients with obstructive lung disease: effects of terbutaline. Am Rev Respir Dis. 1974 Apr;109(4):458–463. doi: 10.1164/arrd.1974.109.4.458. [DOI] [PubMed] [Google Scholar]
- Scheinhorn D. J., Joyner L. R., Whitcomb M. E. Transbronchial forceps lung biopsy through the fiberoptic bronchoscope in Pneumocystis carinii pneumonia. Chest. 1974 Sep;66(3):294–295. doi: 10.1378/chest.66.3.294. [DOI] [PubMed] [Google Scholar]
- Selecky P. A. Evaluation of hemoptysis through the bronchoscope. Chest. 1978 May;73(5 Suppl):741–745. doi: 10.1378/chest.73.5.741. [DOI] [PubMed] [Google Scholar]
- Smiddy J. F., Elliott R. C. The evaluation of hemoptysis with fiberoptic bronchoscopy. Chest. 1973 Aug;64(2):158–162. doi: 10.1378/chest.64.2.158. [DOI] [PubMed] [Google Scholar]
- Stableforth D. E., Knight R. K., Collins J. V., Heard B. E., Clarke S. W. Transbronchial lung biopsy through the fibreoptic bronchoscope. Br J Dis Chest. 1978 Apr;72(2):108–114. doi: 10.1016/0007-0971(78)90019-0. [DOI] [PubMed] [Google Scholar]
- WEST J. B., HUGH-JONES P. Effect of bronchial and arterial constriction on alveolar gas concentrations in a lobe of the dog's lung. J Appl Physiol. 1959 Sep;14:743–752. doi: 10.1152/jappl.1959.14.5.743. [DOI] [PubMed] [Google Scholar]
- Wanner A., Cutchavaree A. Early recognition of upper airway obstruction following smoke inhalation. Am Rev Respir Dis. 1973 Dec;108(6):1421–1423. doi: 10.1164/arrd.1973.108.6.1421. [DOI] [PubMed] [Google Scholar]
- Weinberger S. E., Kelman J. A., Elson N. A., Young R. C., Jr, Reynolds H. Y., Fulmer J. D., Crystal R. G. Bronchoalveolar lavage in interstitial lung disease. Ann Intern Med. 1978 Oct;89(4):459–466. doi: 10.7326/0003-4819-89-4-459. [DOI] [PubMed] [Google Scholar]
- Williams S. J., Pierce R. J., Davies N. J., Denison D. M. Methods of studying lobar and segmental function of the lung in man. Br J Dis Chest. 1979 Apr;73(2):97–112. [PubMed] [Google Scholar]
- Zavala D. C. Diagnostic fiberoptic bronchoscopy: Techniques and results of biopsy in 600 patients. Chest. 1975 Jul;68(1):12–19. doi: 10.1378/chest.68.1.12. [DOI] [PubMed] [Google Scholar]
- Zavala D. C. Pulmonary hemorrhage in fiberoptic transbronchial biopsy. Chest. 1976 Nov;70(5):584–588. doi: 10.1378/chest.70.5.584. [DOI] [PubMed] [Google Scholar]
- Zavala D. C. Transbronchial biopsy in diffuse lung disease. Chest. 1978 May;73(5 Suppl):727–733. doi: 10.1378/chest.73.5_supplement.727. [DOI] [PubMed] [Google Scholar]