Place of Fiberoptic Endoscopy in Bronchoesophagology

Abstract

Flexible and rigid instruments are both useful in the endoscopic examination of the tracheobronchial tree and esophagus. Although either instrument may be employed in many cases, there are specific indications for the use of flexible fiberoptic endoscopes in both bronchology and esophagology; and likewise, the rigid instruments are mandatory in the management of some endoscopic problems. Ideally, the bronchologist and the esophagologist should be proficient in the use of both the rigid and the fiberoptic endoscope. If this is not possible, those who are competent only with flexible fiberoptic endoscopes must work closely with the fully trained bronchoesophagologists. Peroral endoscopy is already shared by otolaryngologists, thoracic surgeons, gastroenterologists, and specialists in thoracic medicine. Although multiple disciplines probably will continue to be involved in bronchoscopy and esophagoscopy, these specialties must not be so broad that no one will be completely competent in bronchoesophagology.