The Incidence of Hemorrhagic Complications Was Lower with the Guide Sheath Than with the Conventional Forceps Biopsy Method: Results of Bronchoscopy in the 2016 Nationwide Survey by the Japan Society for Respiratory Endoscopy

Safety Management Committee of Japan Society for Respiratory Endoscopy, The 2016 National Survey Working Group

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1 Citation (Scopus)

Abstract

Background:The Japan Society for Respiratory Endoscopy performed a nationwide survey to evaluate the current status and complications of bronchoscopy. Data on deaths due to bronchoscopy, complications after bronchoscopy, and particularly, complications of forceps biopsy were surveyed.Methods:The survey form was mailed to 532 facilities accredited by the society. The numbers of procedures, complications, and deaths were investigated.Results:The response rate was 79.1% (421 facilities). Deaths attributable to diagnostic bronchoscopy occurred in 11 (0.011%) of 98,497 cases.In regards to forceps biopsy, the guide sheath method was applied in 23,916 cases and the conventional method in 31,419 cases was done with conventional method. Complications of forceps biopsy developed in 1019 cases in total, with an incidence rate of 1.84%. The most frequent complication was pneumothorax (0.70%), followed by pneumonia/pleurisy (0.46%) and hemorrhage (0.45%). The incidence of hemorrhagic complication was significantly lower in the guide sheath group than in the non-guide sheath group (0.29% vs. 0.58%; P<0.001). The overall incidence of complications (1.63% vs. 2.00%; P=0.002) and the mortality rate (0% vs. 0.02%; P=0.04) were significantly lower in the guide sheath group.Conclusion:The incidence of hemorrhagic complications in forceps biopsy of peripheral pulmonary lesions was lower when the guide sheath method was applied. It is necessary to increase the awareness for safety control in diagnostic bronchoscopy for new procedures.

Original languageEnglish
Pages (from-to)253-258
Number of pages6
JournalJournal of Bronchology and Interventional Pulmonology
Volume27
Issue number4
DOIs
Publication statusPublished - 2020 Oct 1

Keywords

  • bronchoscopy
  • endobronchial ultrasound
  • guide sheath
  • interventional pulmonology
  • lung cancer
  • mortality/morbidity
  • transbronchial biopsy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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