Department of Respiratory Medicine
Queen
Elizabeth Hospital
Kota Kinabalu
Sabah,
Malaysia
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WORKERS
Dr Jamalul Azizi
(above photos) presented his paper "Medical Thoracoscopy
(Pleuroscopy) in East Malaysia: Early Experience" at the
15th World Congress for Bronchology and Bronchoesophagology
in Tokyo, Japan on April 1, 2008.
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DEPARTMENTAL
INFORMATION:
The
Department of Respiratory Medicine provides the full range
of respiratory services for inpatient and outpatient care.
As part of our policy, patients with suspected lung cancers
will be seen as a matter of urgency and given high
priority. Given that many respiratory patients have multiple medical problems, general medicine is also practised within the department.
It is one of the
training centres for Masters in Internal Medicine and Fellowship in respiratory medicine in Malaysia. Overseas physicians are welcome to do short-term attachments with us.
The unit
comprises 34 beds and incorporates a
bronchoscopy/pleuroscopy suite and a High Dependency Unit
for the management of patients with respiratory failure
requiring non-invasive ventilation (e.g. Bi-PAP and
CPAP).
We have
the highest workload in interventional pulmonology in
Malaysia. We also have a high number of procedures undertaken in the pulmonary physiology and sleep medicine units making us one of the busiest subspecialities in internal medicine. Currently, we are one of the few internal medicine specialists in Malaysia who perform procedures under general anaesthesia every week.
Interventional pulmonology procedures undertaken
within the Department include:
-
flexible bronchoscopy
-
rigid
bronchoscopy - First respiratory centre in
Malaysia with this expertise
-
YAP
laser - First respiratory centre in
Malaysia using YAP laser. It is used in the management of
early lung cancer, debulking of tumours and haemoptysis
-
argon
plasma coagulation (APC) - for treatment of
haemoptysis and early lung cancer
-
cryotherapy -
for treatment of early lung cancer, recanalisation of central airway tumours and taking large
endobronchial biopsy
-
transbronchial needle aspiration
(TBNA) - for sampling mediastinal or hilar
lymph node/masses thus reducing the need for EUS,
mediastinoscopy or PET scan. TBNA is usually done via
rigid bronchoscope
-
airway
stent insertion - in cases of malignant
airway stenosis
- Topical Mitomycin C - adjunct treatment of benign airway
stenosis in combination with rigid bronchoscope, APC and
laser
-
bronchoscopic lung volume
reduction (BLVR) - for treatment of
emphysaema
-
pleuroscopy - for cases of pleural
effusion
-
Talc poudrage - for
management of malignant pleural effusion and pneumothorax
- Autofluorescence bronchoscopy - for detection of early lung cancer
We are also actively involved in pulmonary
rehabilitation, respiratory research, clinical trials and
anti-smoking services.
Last updated January 1, 2009 9:25 PM
