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Clinical Pulmonary Medicine

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Clinical Pulmonary Medicine:
January 2008 - Volume 15 - Issue 1 - pp 45-48
doi: 10.1097/CPM.0b013e318160217d
Clinical Myths and Evidence-Based Medicine

Bronchoscopic Myths and Legends: The Utility of Bronchoscopy in Diagnosing Aspiration Syndromes

Boyd, Michael MD; Breit, Jeremy MD; Perry, C David MD; Chin, Robert MD; Conforti, John DO

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Abstract

Aspiration can be acute, subacute, or chronic. Pulmonary manifestations of aspiration syndromes are diverse. Inspection flexible bronchoscopy has been suggested as diagnostic of acute aspiration based on mucosal changes. Fiberoptic bronchoscopy with bronchoalveolar lavage and the determination of a lipid-laden macrophage index has been suggested as useful in diagnosing chronic aspiration syndromes. We review the literature regarding the utility of bronchoscopy in diagnosing aspiration syndromes.

© 2008 Lippincott Williams & Wilkins, Inc.

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