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bronchoscopy with lavage

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  • Lungs and bronchial tree
Alternative Names
BAL

Definition

A bronchoscopy is an examination done with a thin, flexible fiberoptic tube called a bronchoscope. The tube is inserted through the nose or mouth into the lung.

Lavage is the term for washing out the lungs with saline fluid..A small tissue sample, known as a biopsy, can be removed for study in the laboratory.

Who is a candidate for the test?

This test is performed when lung disease, infections, tumors, or an obstruction are suspected.

How is the test performed?

With the person relaxed and lying down on a table or bed, a local anesthetic is sprayed into the throat and a mild sedative is given. When the throat is numb, the bronchoscope is inserted through the nose or mouth into the bronchi, or large airways in the lungs. Once the tube is in the lung, a small amount of fluid is sprayed into the lung. The fluid is then removed and sent to the laboratory for analysis. Respiratory tissues can then be observed and biopsied.

What is involved in preparation for the test?

Specific instructions will be provided by the healthcare professional.

What do the test results mean?

Results are normal when the air passages and the lavage show no abnormalities. Results are abnormal when the bronchoscope reveals diseases of the lungs, or the washings show the presence of infectious or cancer cells.


Author:David T. Moran, MD
Date Written:12/13/99
Medical Review:James Hubbard, MD
Date Written:10/23/2006
Reviewer:Reginald Finger, MD
Date Reviewed:10/28/2006
Contributors
Potential conflict of interest information for reviewers available on request