Transbronchial biopsy

A transbronchial biopsy is a good way of finding out if there is a problem.

An x-ray or scan can show that you have a problem but a biopsy will help to find out exactly what is causing the problem.

Your doctor may not be able to confirm what the problem is.

The endoscopist may offer you a sedative or painkiller to help you to relax and feel more comfortable.

A transbronchial biopsy usually takes less than 30 minutes. Your doctor will pass a flexible telescope (bronchoscope) through your nose and down into your lungs.

Your doctor will use the bronchoscope to examine your airways.

They will gently push small forceps down one of your airways (a bronchus) into your lung. Your doctor will use the forceps to take samples of lung tissue.

The healthcare team are trained to reduce the risk of complications.

Any risk rates given are taken from studies of people who have had this procedure. Your healthcare team may be able to tell you if the risk of a complication is higher or lower for you.

Some complications can be serious and may even cause death.

• Shortness of breath.
• Bleeding from a biopsy site. It is normal to cough up some streaks of blood for 1 to 2 days.
• Pneumothorax, where air escapes into the space around your lung. If a lot of air escapes, this can cause a large pneumothorax. You will need to stay in hospital for 1 to 2 days. If you suddenly become short of breath or have severe chest pain, call an ambulance.
• Developing a high temperature a short while after the procedure.
• Developing a sore throat, husky voice or a cough getting worse.
• Allergic reaction to the equipment, materials or medication.
• Death. This is rare.

You should be able to go home after you have recovered from the sedative.

You should be able to return to work the next day unless you are told otherwise.

The healthcare team will tell you the results of the procedure and talk to you about any treatment or follow-up care you may need.

Regular exercise should improve your long-term health. Before you start exercising, ask the healthcare team or your GP for advice.

A transbronchial biopsy is usually a safe and effective way of finding out if there is a problem in your lungs.