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Bronchoscopy Role in Interstitial Lung Disease

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Interventions in Pulmonary Medicine

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Abstract

Bronchoscopy is considered an important procedure in interstitial lung diseases (ILD) since it can lead to or discards a diagnosis in many cases. The macroscopic and microscopic (cytological or histological) evaluation of samples obtained through bronchoscopy is often needed. During the last years, different advances have increased the value of this technique in the algorithm of ILD diagnosis; (1) thoracic high-resolution computed tomography (HRCT) has enhanced the diagnostic approach and the guided bronchoscopic procedure, (2) improved options for obtaining lung samples, such as transbronchial lung biopsy by cryoprobes, have increased the quality of taken samples. Frequently, bronchoalveolar lavage (BAL) and transbronchial lung biopsy (TBLB) play a significant role in making an accurate diagnosis of specific forms of ILD. However, the standardization of TBLB and BAL protocols and the correct interpretation of thoracic HRCT for the procedure indication are crucial for optimizing the usefulness of both techniques.

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Author information

Authors and Affiliations

  1. Interstitial Unit, Pulmonary Department, Hospital Universitari de Bellvitge, Feixa llarga s/n. 16th Floor, Hospitalet de llobregat, Barcelona, 08907, Spain

    Maria Molina-Molina MD

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  1. Maria Molina-Molina MD
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Correspondence to Maria Molina-Molina MD .

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Editors and Affiliations

  1. Clínica Corachan and Bellvitge, University Hospital, Barcelona, Spain

    Jose Pablo Díaz-Jimenez

  2. Pulmonary Department, Clinica y Maternidad Colon, Pulmonary Research Department, IIC Mar del Plata, Buenos Aires, Argentina

    Alicia N. Rodriguez

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Molina-Molina, M. (2018). Bronchoscopy Role in Interstitial Lung Disease. In: Díaz-Jimenez, J., Rodriguez, A. (eds) Interventions in Pulmonary Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-58036-4_35

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  • DOI: https://doi.org/10.1007/978-3-319-58036-4_35

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