- Home
- Medical news & Guidelines
- Anesthesiology
- Cardiology and CTVS
- Critical Care
- Dentistry
- Dermatology
- Diabetes and Endocrinology
- ENT
- Gastroenterology
- Medicine
- Nephrology
- Neurology
- Obstretics-Gynaecology
- Oncology
- Ophthalmology
- Orthopaedics
- Pediatrics-Neonatology
- Psychiatry
- Pulmonology
- Radiology
- Surgery
- Urology
- Laboratory Medicine
- Diet
- Nursing
- Paramedical
- Physiotherapy
- Health news
- Fact Check
- Bone Health Fact Check
- Brain Health Fact Check
- Cancer Related Fact Check
- Child Care Fact Check
- Dental and oral health fact check
- Diabetes and metabolic health fact check
- Diet and Nutrition Fact Check
- Eye and ENT Care Fact Check
- Fitness fact check
- Gut health fact check
- Heart health fact check
- Kidney health fact check
- Medical education fact check
- Men's health fact check
- Respiratory fact check
- Skin and hair care fact check
- Vaccine and Immunization fact check
- Women's health fact check
- AYUSH
- State News
- Andaman and Nicobar Islands
- Andhra Pradesh
- Arunachal Pradesh
- Assam
- Bihar
- Chandigarh
- Chattisgarh
- Dadra and Nagar Haveli
- Daman and Diu
- Delhi
- Goa
- Gujarat
- Haryana
- Himachal Pradesh
- Jammu & Kashmir
- Jharkhand
- Karnataka
- Kerala
- Ladakh
- Lakshadweep
- Madhya Pradesh
- Maharashtra
- Manipur
- Meghalaya
- Mizoram
- Nagaland
- Odisha
- Puducherry
- Punjab
- Rajasthan
- Sikkim
- Tamil Nadu
- Telangana
- Tripura
- Uttar Pradesh
- Uttrakhand
- West Bengal
- Medical Education
- Industry
Are repeated bronchoscopies with tissue sampling safe for patients with pulmonary lesions?
China: Re-bronchoscopy with tissue sampling infers the same bleeding risk (including severe bleeding) in patients with pulmonary lesions as experienced during the initial bronchoscopy, a recent study in Expert Review of Respiratory Medicine has shown.
"When conducting repeated tissue sampling on patients who once bled, it should be treated with discretion," Liyan Boa from the Second Affiliated Hospital of Air Force Medical University, Xi'an, PR China, and colleagues wrote in their study.
Many patients require repeated bronchoscopies with tissue sampling to get the final pathological results and to guide the optimal subsequent pulmonary lesions treatment. Considering that not many studies have explored the safety of repeated biopsies, the research team set out to determine the safety of repeated biopsies in patients with pulmonary lesions.
For this purpose, the researchers revised the records of patients who underwent bronchoscopy-guided tissue sampling due to pulmonary lesions between n 1 January 2008 and 31 December 2019 at the respiratory department. Clinical characteristics, information on bronchoscopy and the occurrence of complications in patients were collected and analyzed.
The study led to the following findings:
- A total of 3899 bronchoscopy-guided tissue sampling procedures were conducted in the 1781 participants.
- As was the hemoptysis, there was no remarkable difference in the prevalence of major complications between the initial and repeated bronchoscopies (1.12% vs 1.13%).
- The authors found a significantly higher bleeding rate in patients who got bleeding during the first bronchoscopies compared to patients who did not experience bleeding (61.19% vs. 32.63%).
"Re-bronchoscopy with tissue sampling for patients with pulmonary lesions infers the same bleeding risk, comprising severe bleeding as observed during the initial bronchoscopy. However, it should be treated with discretion when conducting repeated tissue sampling on patients who once bled," the authors concluded.
Reference:
Li C, Li Y, Jin F, Bo L. The bleeding risk and safety of repeated bronchoscopies with tissue sampling in patients with pulmonary lesions. Expert Rev Respir Med. 2022 Dec 18:1-6. doi: 10.1080/17476348.2022.2159382. Epub ahead of print. PMID: 36529971.
MSc. Biotechnology
Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751