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Respiratory & CCM - Diagnostic Bronchoscopy & Interventional Pulmonology

Inpatient and Lung Endoscopy Centre (ILEC)

Block 6 Level 2 

Tel : 6321 3990 

Fax : 6321 3987 


Bronchoscopy

The department is the busiest in this country with over 1,000 elective procedures performed annually. It is one of the few centres in the region to provide a comprehensive spectrum of bronchoscopic services: 

1. BRONCHOSCOPIC SERVICES 


Diagnostic services include flexible bronchoscopy, bronchoalveolar lavage, bronchial biopsy, transbronchial lung biopsy under fluoroscopy (including cryobiopsy), virtual bronchoscopic navigation, and endobronchial ultrasound (EBUS).
 
Therapeutic services include balloon bronchoplasty, thermal ablation (cryotherapy, argon plasma coagulation, electrocautery and CO2 laser), airway stenting, foreign body removal, endobronchial blockers and bronchial thermoplasty. 
 
Our procedures are mainly performed in the Inpatient and Lung Endoscopy Centre (ILEC) on an outpatient basis. 

  • Endobronchial Ultrasound (EBUS) - convex probe transbronchial needle aspiration (TBNA) and radial probe 

  • Endobronchial ultrasound is a minimally invasive bronchoscopic procedure used for the diagnosis and staging of lung cancer. The radial probe allows more precise localization and biopsy of small peripheral lung lesions and is an important modality in the early diagnosis of peripheral lung cancer. The convex probe enables visualization of mediastinal lymph nodes and biopsy (TBNA) under real time guidance for lung cancer staging. Both services are available in the department and we have a team of bronchoscopists who are proficient in these procedures.

2. RIGID BRONCHOSCOPY AND INTERVENTIONAL BRONCHOSCOPY


We are one of the few centers in the region with the experience and expertise in rigid bronchoscopy. Rigid bronchoscopy is commonly used to treat central airway obstruction from tuberculosis and various cancers. It is performed under general anaesthesia in the Operating Theatre. Our interventional bronchoscopists have been trained in the United States, Germany, and Korea under renowned leaders in the field. We offer the entire range of interventional bronchoscopic techniques such as balloon bronchoplasty, thermal ablative therapies, metallic and silicone airway stenting, and brachytherapy. 


3. PLEURAL SERVICE


Services include chest tube placement, Heimlich valve insertion, pleurodesis and pleural lytic administration, medical thoracoscopy and indwelling pleural catheters. These procedures are also performed in the ILEC. 

4. MISCELLANEOUS


We also offer whole lung lavage for an uncommon condition called alveolar proteinosis. It is performed with single lung ventilation in the operating theatre.