Center For Chest Disorders & Communicable Diseases

Center For Chest Disorders & Communicable Diseases

The Centre for Chest disorders & communicable diseases at Padiyath Medicity - Hopital Du Cinquantenaire is committed to deliver superior clinical services for the treatments of respiratory disease. Our Centre undertakes the prevention, early detection, diagnosis, and treatment of pulmonary diseases in children, adolescents, and adults.

The Centre for Chest disorders & communicable diseases consists of a team of Pulmonologists, all specialized in Respiratory Critical Care and treatment of a wide variety of Chest Diseases. Our team of experienced clinicians, scientists, and scholars committed towards improving the lives of patients suffering from serious lung disease. Patients with complex disorders are evaluated and staged completely and the optimal methods of treatment are offered.

The department renders facilities for investigation and management of all sorts of infective and non-infective pulmonary diseases.

Chest Clinic

Today, Padiyath Medicity - Hopital Du Cinquantenaire Chest Clinic is committed to the integration of patient care, education, and scholarly research to provide state-of-the-art consultation and treatment for thousands of patients. In addition to our comprehensive general pulmonary practice, we offer specialty center programs in tuberculosis, adult cystic fibrosis, asthma, COPD, pulmonary vascular diseases, diseases, thoracic, lung cancer screening, sleep medicine, interventional pulmonary medicine, and occupational lung diseases. Padiyath Medicity - Hopital Du Cinquantenaire established with the intention of providing a state –of- the art investigative tools in the field of Chest Medicine. This perhaps is the only center, which provides such investigations under one roof.

The Clinic is well equipped and offers following Facilities:

Communicable Disease

Communicable disease refers to those diseases that can be passed or spread from person to person. As a public health agency, our primary goal is to assist the citizens of our communities in achieving their fullest health potential. Part of this goal is accomplished through the surveillance and investigation of communicable disease incidents reported to our department.

Padiyath Medicity - Hopital Du Cinquantenaire Communicable disease Clinic provides the following TB related services:

Diagnostic Services
Pulmonary function testing

Pulmonary function tests are a group of tests that assess the functional status of the lungs and give us information about the likely cause of breathlessness. It measures how well we can inhale and exhale air and how well the gases such as oxygen move from the atmosphere into the body's circulation. PFT's are performed by our trained technician in the PFT lab.

Pulmonary function tests are done to:

Bronchoscopy & Related Procedures

Bronchoscopy is a technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. The bronchoscopeis inserted into the windpipe, usually through the nose or mouth, or occasionally through an endotracheal tube or tracheostomy. This allows the doctor to examine the patient's airways for abnormalities such as foreign bodies, bleeding, tumors, secretions, or inflammation as well as provides an opportunity to take diagnostic samples in the form of washings and lavage from the lung and biopsies of lung tissue for diagnosis of certain diseases.

Our Bronchoscopy Suite is equipped with state of the art technology inclusive of 2 ultra-modern video bronchoscopes, both Radial and Linear endobronchial ultrasound probe scopes,and facility for Endobronchial Stent placement, Electrocautery / Argon Plasma Coagulationwith related tools for tumor removal, foreign body removal tools, fluoroscopy guidance,endobronchial glue insertion and hot biopsy forceps.

Endobronchial Ultrasound (EBUS)
Linear EBUS

Endo-Bronchial Ultrasound (EBUS) is one of the latest diagnostic tools in evaluating undiagnosed lung or mediastinal (the space between the two lungs where the heart and great vessels lie) masses and lymph nodes.

Radial EBUS

Till date we are the only centre in the country with facilities for radial endobronchial ultrasound.Just as linear EBUS helps us to sample lesions which are juxta-bronchial, Radial EBUS aids in diagnosing diseased areas within the lung tissue which were traditionally accessible only surgically. This procedure thus has greatly reduced the cost and morbidity in diagnosis of these lesions which can range from benign lung tumors to lung cancers and infections like Tuberculosis and fungal.

Endobronchial Tumour removal and airway stenting

Recent technological refinements of the electrodes and the use of high frequency current have made possible safe use of electrocautery through the bronchoscope. Various instruments like Hot Forceps, Snare, Knife powered by cautery can be used for diagnosing and treating endobronchial obstructive lesions like lung cancers, benign tumors, tracheo-bronchial stenosis, sub-glottic stenosis, relapsing polychondritis, amyloidosis, tracheobronchial papillomatosis and Wegener’s granulomatosis. Cautery coagulates the vessels thus reducing bleeding and making removal of vascular lesions possible. The procedure can even be done with a flexible therapeutic bronchoscope thus avoiding need for general anaeshesia or a more invasive surgical procedure. These procedures give patients an instant relief.

Medical Thoracoscopy/ Pleuroscopy

Medical Thoracoscopy is a procedure to examine the chest wall from the inside using an endoscope like device, called a thorascope, through a little hole (about 1-2 cm) in the chest. This also allows examiner to examine around the outside of the lungs apart from inside of the chest wall. During the procedure, samples are taken for establishing diagnosis of pleural disorders in the form of biopsies from the pleura (the covering of lungs and chest wall) and fluid. The procedure is done in our bronchoscopy suite under mild sedation (not general anaesthesia) and local anaesthesia. The total duration of the procedure is around 30-45min. The same sitting can also be used therapeutically for pleurodesis.

Foreign Body Removal

We are equipped with all the necessary tools needed to remove any sort of foreign bodies accidentally finding their way into the respiratory tract and have removed foreign bodies including bone, dental file, needles, etc. from the airways.

Pleural aspiration

This is a procedure wherein fluid accumulated outside the lungs in the chest cavity is taken out using a plastic cannula/needle for diagnosis of pleural diseases as well as therapeutic benefit when a large amount of fluid is causing respiratory embarrassment. This is an outpatient procedure requiring 15-20 minutes.

Various indications are:

Chest Tube/ Intercostal Drain

Various diseases involving the pleura (covering of lungs) cause accumulation of fluid/ pus/ air in the chest cavity. This compresses the lungs and has to be drained. A thin tube needs to be put in the chest cavity to drain this collection. We perform this procedure under ultrasound guidance, to ensure safety on a routine basis. Also the cavity can be sealed after the collection is drained to prevent re-accumulation in case of air of rapidly collecting fluid in cases like malignancy, liver and kidney diseases.

Allergy testing

Allergy skin tests are tests used to find out which substances cause a person to have an allergic reaction in the form of asthma or allergic rhinitis. The skin prick test is routinely done by our department to find out the cause of allergic symptoms patients have and subsequent advice regarding avoiding some agents or specific therapy.

Spiral and High Resolution CT

Spiral and High Resolution CT Computed Tomography (CT) imaging. also known as 'CAT scanning’ (Computed Axial Tomography), provides high resolution imaging for cases of lung diseases, mediastinal diseases, and chest wall tumors. The software for spiral CT creates a CT endoscopy and a CT bronchoscopy, as well as a continuous helical acquisition which provides a 3-D volume scan allowing a radiologist to better localize very small tumor.

Scintigraphy Test

The Ventilation Perfusion Scan in Nuclear Medicine is extremely useful in the detection and localization of pulmonary thromboembolisms as well as primary and secondary tumors. The Gamma Camera is also used for pulmonary function testing.

Our Department of Pulmonology is dedicated towards providing excellent medical services for conditions like Asthma, Chronic obstructive pulmonary disease, Emphysema, Pulmonary Edema etc. Our Center provides cutting-edge, evidenced-based pulmonary care with superior patient outcomes and family satisfaction .