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ISSN: Print -2349-0977, Online - 2349-4387
THE EVOLUTION - THE BRONCHOSCOPY LAB
Year : 2017  |  Volume : 4  |  Issue : 1  |  Page : 45-52

Newer approaches in diagnostic and therapeutic bronchoscopy in pulmonary tuberculosis


Institute of Pulmonary Medicine and Interventional Pulmonology, Apollo Hospitals, Bengaluru, Karnataka, India

Correspondence Address:
Ravindra Mehta
Institute of Pulmonary Medicine and Interventional Pulmonology, Apollo Hospitals, Bengaluru - 560 011, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/astrocyte.astrocyte_62_17

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Tuberculosis (TB), true to its description as the “Captain of the men of death,” is now an uncontrolled epidemic of global proportions. Inherent to controlling this looming threat, is a high-end diagnostic and therapeutic approach, with conventional tools, and out of the box approaches. The diagnostic approach to TB has seen accelerated development in an attempt to tackle the epidemic of resistance. On the therapeutic front, progress is slow, and beyond chemotherapy and occasional surgery, hardly any therapeutic approaches to TB have been described. With the advent of newer bronchoscopic techniques such as endobronchial ultrasound (EBUS) and therapeutic bronchoscopy, a host of new options are available to the physician, both in the diagnostic and therapeutic arena. This review focuses on bronchoscopic diagnostic and therapeutic methods in TB and its sequelae. We highlight both the established and cutting edge role of bronchoscopy in the management of specific aspects of TB. In addition, this discussion incorporates the introduction of innovative therapeutic modalities in the disease, and is an overview into the growing role of pulmonary procedures in all aspects of TB.


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