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Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population

BACKGROUND: With the exception of areas with high prevalence of tuberculosis, medical thoracoscopy is becoming the diagnostic modality of choice for exudative pleural effusions. The aims of this study were to determine the diagnostic yield and safety of medical thoracoscopy for exudative pleural eff...

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Autores principales: Thomas, Merlin, Ibrahim, Wanis H., Raza, Tasleem, Mushtaq, Kamran, Arshad, Adeel, Ahmed, Mushtaq, Taha, Salma, Al Sarafandi, Saber, Karim, Hanfa, Abdul-sattar, Hisham A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700680/
https://www.ncbi.nlm.nih.gov/pubmed/29166899
http://dx.doi.org/10.1186/s12890-017-0499-y
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author Thomas, Merlin
Ibrahim, Wanis H.
Raza, Tasleem
Mushtaq, Kamran
Arshad, Adeel
Ahmed, Mushtaq
Taha, Salma
Al Sarafandi, Saber
Karim, Hanfa
Abdul-sattar, Hisham A.
author_facet Thomas, Merlin
Ibrahim, Wanis H.
Raza, Tasleem
Mushtaq, Kamran
Arshad, Adeel
Ahmed, Mushtaq
Taha, Salma
Al Sarafandi, Saber
Karim, Hanfa
Abdul-sattar, Hisham A.
author_sort Thomas, Merlin
collection PubMed
description BACKGROUND: With the exception of areas with high prevalence of tuberculosis, medical thoracoscopy is becoming the diagnostic modality of choice for exudative pleural effusions. The aims of this study were to determine the diagnostic yield and safety of medical thoracoscopy for exudative pleural effusions and ascertain the etiology of such effusions in Qatar. METHODS: This is a retrospective-descriptive study of 407 patients who underwent diagnostic medical thoracoscopy for exudative pleural effusions from January, 2008 till December, 2015 at the only tertiary referral center performing this procedure in Qatar. RESULTS: Tuberculosis was the most common etiology of exudative pleural effusions in Qatar accounting for 84.5% of all causes. Around 85% of patients were young males (mean age of 33 ± 12.1 years). The diagnostic yield of medical thoracoscopy for tuberculous pleural effusion was 91.4%. Malignant pleural effusions accounted for 5.2% of cases. Minor bleeding occurred in 1.2% of cases with no procedure-related mortality observed. CONCLUSION: Medical thoracoscopy is a very safe procedure. Tuberculous pleuritis is by far the most common etiology of exudative pleural effusions in Qatar. Closed needle biopsy is a worth consideration as an initial safe, easy and low-cost diagnostic modality for exudative pleural effusions in this country.
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spelling pubmed-57006802017-12-01 Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population Thomas, Merlin Ibrahim, Wanis H. Raza, Tasleem Mushtaq, Kamran Arshad, Adeel Ahmed, Mushtaq Taha, Salma Al Sarafandi, Saber Karim, Hanfa Abdul-sattar, Hisham A. BMC Pulm Med Research Article BACKGROUND: With the exception of areas with high prevalence of tuberculosis, medical thoracoscopy is becoming the diagnostic modality of choice for exudative pleural effusions. The aims of this study were to determine the diagnostic yield and safety of medical thoracoscopy for exudative pleural effusions and ascertain the etiology of such effusions in Qatar. METHODS: This is a retrospective-descriptive study of 407 patients who underwent diagnostic medical thoracoscopy for exudative pleural effusions from January, 2008 till December, 2015 at the only tertiary referral center performing this procedure in Qatar. RESULTS: Tuberculosis was the most common etiology of exudative pleural effusions in Qatar accounting for 84.5% of all causes. Around 85% of patients were young males (mean age of 33 ± 12.1 years). The diagnostic yield of medical thoracoscopy for tuberculous pleural effusion was 91.4%. Malignant pleural effusions accounted for 5.2% of cases. Minor bleeding occurred in 1.2% of cases with no procedure-related mortality observed. CONCLUSION: Medical thoracoscopy is a very safe procedure. Tuberculous pleuritis is by far the most common etiology of exudative pleural effusions in Qatar. Closed needle biopsy is a worth consideration as an initial safe, easy and low-cost diagnostic modality for exudative pleural effusions in this country. BioMed Central 2017-11-22 /pmc/articles/PMC5700680/ /pubmed/29166899 http://dx.doi.org/10.1186/s12890-017-0499-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Thomas, Merlin
Ibrahim, Wanis H.
Raza, Tasleem
Mushtaq, Kamran
Arshad, Adeel
Ahmed, Mushtaq
Taha, Salma
Al Sarafandi, Saber
Karim, Hanfa
Abdul-sattar, Hisham A.
Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population
title Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population
title_full Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population
title_fullStr Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population
title_full_unstemmed Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population
title_short Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population
title_sort medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700680/
https://www.ncbi.nlm.nih.gov/pubmed/29166899
http://dx.doi.org/10.1186/s12890-017-0499-y
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