Loading Page
Dr. Miles David Hagner, MD is a pulmonologist in Coralville, IA specializing in adult pulmonology and adult critical care. He graduated from University of Toledo College of Medicine in 2017 and has 7 years of experience. Dr. Miles David Hagner, MD is affiliated with University of Iowa and University of Iowa Health Care.
105 East 9th Street
Coralville, IA 52241
200 Hawkins Drive
Iowa City, IA 52242
Bronchoscopy
Bronchoscopy is a procedure in which a thin tube with a camera, called a bronchoscope, is inserted in the mouth or nose and slowly advanced to the lungs. This allows doctors to see the respiratory tract, which includes the throat, larynx (voice box), trachea (windpipe), bronchi (airways), and lungs. Doctors may recommend those who have or show signs of lung problems - for example, lung cancer or difficulty breathing - to undergo a bronchoscopy.
In performing a diagnostic bronchoscopy, doctors may only wish to visualize the respiratory tract, or doctors may also collect samples of tissue or fluid. The samples can help diagnose patients' conditions or, if patients have cancer, they can be used for staging purposes. One method for sample collection is bronchoalveolar lavage. In a bronchoalveolar lavage, doctors inject saline (salt water) through the bronchoscope and then suction it out of the airways. The washout collected is tested for lung disorders. Doctors can also insert a biopsy tool to collect tissue or mucus samples. The following are biopsies that can be performed by bronchoscopy:
For visualization, bronchoscopy can be done alone, or it can be combined with ultrasound. Endobronchial ultrasound (EBUS) allows real-time imaging of the airway and is used for diagnosing and staging lung cancer, as well as for determining where the cancer has spread. EBUS can be performed with TBNA, a procedure known as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).
Doctors can also use bronchoscopy as a treatment for lung problems. For example, if a foreign body is trapped in the airway, doctors can insert forceps through the bronchoscope to remove it. If the airway has become narrowed - which may occur if patients have an infection, cancer, or some other inflammatory issue - bronchoscopy can be used to place a device called a stent in the area of constriction. The stent will keep the airway open, allowing the patient to breathe properly.
During a bronchoscopy, patients will be given medication (sedative) to help them relax. If it is only a diagnostic bronchoscopy, patients will be kept awake, but if the bronchoscopy is for therapeutic purposes, patients will be put to sleep by general anesthesia. After the procedure, patients will need to stay in the hospital for a few hours. They will not be able to eat or drink for about 2 hours. Some patients may experience discomfort, such as a sore throat or pain while swallowing. Throat lozenges and gargling may help alleviate these symptoms, which should go away after a few days. Patients will need to have someone drive them home once their doctor determines that they are ready.
Dr. Miles David Hagner, MD graduated from University of Toledo College of Medicine in 2017. He has a state license in Iowa.
Medical School: University of Toledo College of Medicine (2017)
Licensed In: Iowa
Dr. Miles David Hagner, MD is associated with these hospitals and organizations:
Dr. Miles David Hagner, MD has an exceptional overall rating with an average of 4.86 out of 5 stars based on 52 ratings. We collect ratings and reviews of Dr. Miles David Hagner, MD from all over the web to help you find the right in Coralville, IA.
Dr. Miles Hagner is a specialist in adult critical care and adult pulmonology. He works in Iowa City, IA and Coralville, IA. He graduated from the University of Toledo College of Medicine. He is professionally affiliated with the University of Iowa Health Care.
