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Specialist Expertise

Dr Panchal has an interest in all respiratory disorders and excels in the management of patients with a broad mix of conditions and enjoys the breadth and intensity of outpatient work, ambulatory care and continuity of patient care. Additionally, he has a sub-specialist interest in pleural disease and interventional pulmonology.
General Respiratory Conditions 

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  • Unexplained Cough

  • Unexplained Breathlessness

  • Pleural effusion

  • Pleural disease

  • Pneumothorax

  • Lung Cancer 

  • Wheeze

  • Asthma

  • COPD (emphysema, chronic bronchitis)

  • Emphysema

  • Pneumonia and lung infections

  • Tuberculosis

  • Acute and chronic bronchitis

  • Lung fibrosis

  • Sarcoidosis

  • Bronchiectasis

  • Pulmonary embolism

  • Obstructive sleep apnoea

  • Abnormal chest x-rays and CT scans

  • Respiratory failure

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Pleural Diseases

 

Dr Panchal is an expert in the diagnosis, investigation and management of pleural effusions (fluid around the lung) and pneumothorax (collapsed lung). Dr Panchal performs thoracic ultrasound to assess the degree of the fluid around the lung. He is also skilled in medical thoracoscopy (insertion of a camera to investigate the cause of the fluid), the insertion of chest drains (to drain fluid) and management of fluid recurrence via indwelling pleural catheters (semi-permanent drains).

Interventional Bronchoscopy 

 

Dr Panchal is the lead clinician for respiratory bronchoscopy and an expert in Endobronchial Ultrasound (EBUS) bronchoscopy that involves the biopsy of intra-thoracic lymph nodes for the rapid diagnosis and staging of both malignant (e.g lung cancer and metastatic cancer) and non-malignant conditions (e.g. sarcoidosis, TB). Dr Panchal performs Private EBUS procedures at Glenfield Hospital, Leicester

Practical expertise

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  • Linear and radial EBUS – endobronchial ultrasound bronchoscopy (biopsy of mediastinal lymph nodes)

  • Fibreoptic bronchoscopy 

  • Bronchial thermoplasty

  • Cryobiopsy

  • Medical thoracoscopy

  • Thoracic Ultrasound

  • Indwelling Pleural Catheters 

  • Ambulatory management of pneumothorax

  • Intercostal Chest Drain and pleurodesis

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