Sarcoidosis Clinical Trial
The investigators hypothesize that conventional or EBUS-TBNA will have equal efficiency in diagnosing sarcoidosis when performed in conjunction with endobronchial and transbronchial lung biopsy.
Diagnostic procedures like transbronchial lung biopsy (TBLB), transbronchial needle
aspiration (TBNA) and endobronchial biopsy (EBB) are routinely used to obtain pathological
confirmation of pulmonary sarcoidosis. Real-time convex probe endobronchial
ultrasound-guided TBNA (EBUS-TBNA) has shown immense potential, however it is costly, labor
intensive and still has limited availability, especially in low and middle income countries.
In the past, TBLB has been the bronchoscopic procedure of choice for diagnosis of
sarcoidosis however currently its role is being debated with the advent of EBUS. We have
observed that EBUS even though has high yield yet the optimal diagnosis is obtained only
when combined with EBB and TBLB. The investigators hypothesize that conventional or
EBUS-TBNA will have equal efficiency in diagnosing sarcoidosis when performed in conjunction
with endobronchial and transbronchial lung biopsy.
The study compares the diagnostic yield of EBUS-TBNA (plus EBB and TBLB) vs. conventional
TBNA (plus EBB and TBLB) for diagnosis of sarcoidosis.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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