Clinico-Pathological Correlation of Upper Gastrointestinal Disease by Gastroduodenoscopy and Biopsy in a Tertiary Hospital

Abstract

Introduction: Endoscopic biopsies are easy and
safe out patient based procedure that provides
accurate diagnosis of patients having symptoms of
gastrointestinal tract. Histo-pathological findings
are one of the gold standard for the confirmatory
diagnosis of lesions detected in endoscopy.


Materials and Methods:A two year retrospective
study was carried out in 100 upper gastrointestinal
endoscopic biopsies. Endoscopic upper
gastrointestinal biopsies were fixed in 10% formalin
solution. Routine Hematoxylin & Eosin stain and
Giemsa stain was done to detect Helicobacter pylori.


Results: Out of 100 patients most common
histo-pathological finding was chronic gastritis
(n=57; 57%) followed by dysplesia (n=16; 16%)
and chronic gastritis with intestinal metaplasia
(n=12;12%). 14(24.6%) of chronic gastritis patients
were Helicobacter pylori positive, 2(16.7%) of
chronic gastritis with intestinal metaplasia were
Helicobacter pylori positive and none of the patients
with dysplesia were Helicobacter pylori positive.
14(14%) of the specimen were malignant out of
which 13(92%) were adenocarcinoma and 1(8%)
was squamous cell carcinoma.


Conclusion:Early detection of Helicobacter pylori
and its eradication is important to prevent chronic
gastritis and complications.

 

Clinico-Pathological Correlation of Upper Gastrointestinal Disease by Gastroduodenoscopy and Biopsy in a Tertiary Hospital

References

1. Thapa R, Lakhey M, Yadav PK, Kandel P,
Aryal C, Subba K. Histopathological study
of endoscopic biopsies. J Nepal Med Assoc.
2013;52(6):354–6.
2. Kothari SL, Dayal A, Patel SM. Interpretation
of Upper Gastrointestinal Tract Mucosal
Biopsies – A Tertiary Care Centre Experience.
Ann Pathol Lab Med. 2018;5(8):A709-714.
3. Sharma S, Makaju R, Dhakal R, Purbey
B. Correlation between endoscopic and
histopathological findings in gastric lesions.
Kathmandu Univ Med J. 2015;13(51):216–
9.
4. Islam SMJ, Ahmed ASMM, Ahmad
MSU, Hafiz S. Endoscopic and Histologic
Diagnosis of Upper Gastrointestinal Lesions,
Experience in a Port City of Bangladesh.
Chattagram Maa-O-Shishu Hosp Med Coll
J. 2014;13(3):11–4.
5. Melish, Marian E MD et al. The New England
Journal of Medicine Downloaded from nejm.
org at University of Bristol on December
15, 2014. For personal use only. No other
uses without permission. From the NEJM
Archive. Copyright © 2010 Massachusetts
Medical Society. All rights reserved. N Engl
J Med. 1974;306(13):802–5.
6. Iqbal Kazi J, Mahmood Alam S, Moeed
Kazi A, Anwar A, Shamsi Z. Correlation
of endoscopic and histological diagnosis in
upper gastrointestinal lesions Pages with
reference to book, From 281 To 283.
7. K P, MK S, RCN N. Histopathological
Diagnosis of Gastric Biopsies in. Adv Lab
Med Int. 2013;3(2):22–31.
8. Gajalakshmi CK, Shanta V. Lifestyle
and risk of stomach cancer: A hospitalbased case-control study. Int J Epidemiol.
1996;25(6):1146–53.
9. Zullo A. Follow-up of intestinal metaplasia
in the stomach: When, how and why. World J
Gastrointest Oncol. 2012;4(3):30.
10. Bumpenboon W, Wasuthit Y, Euanorasetr
C, Sumritpradit P, Suwanthunma W,
Lertsithichai P. Patients Presenting with
Dyspepsia. 2010;7–12.
11. Qureshi NA, Hallissey MT, Fielding JW.
Outcome of index upper gastrointestinal
endoscopy in patients presenting with
dysphagia in a tertiary care hospital-A 10
years review. BMC Gastroenterol. 2007;7:1–
4.
12. Zhang W, Lu H, Graham DY. An update on
helicobacter pylori as the cause of gastric
Clinico-Pathological Correlation of Upper Gastrointestinal Disease. Subedi M et. al.
~420~˷
Original Article Medical Journal of Pokhara Academy of Health Sciences Vol. 4 Issue 2 July-December 2021
cancer. Gastrointest Tumors. 2014;1(3):155–
65.
13. Shiotani A, Cen P, Graham DY. Eradication
of gastric cancer is now both possible and
practical. Semin Cancer Biol [Internet].
2013;23(6 PB):492–501. Available
from: http://dx.doi.org/10.1016/j.
semcancer.2013.07.004
14. Gajalakshmi V, Swaminathan R, Shanta V. An
independent survey to assess completeness
of registration: Population based cancer
registry, Chennai, India. Asian Pacific J
Cancer Prev. 2001;2(3):179–83.
15. Hart AR, Mann R, Mayberry JF. Gastric
and colorectal cancer in patients attending
mission hospitals in rural areas of south-east
Asia. Digestion. 1993;54(3):173–7.
16. Binu VS, Chandrashekhar TS, Subba
SH, Jacob S, Kakria A, Menezes RG.
. 2007;8:183–6.
17. Shah M Jayshree , Shah R Falguni , Atit
B Nupur KRS. Interpretation of upper
gastrointestinal tract endoscopic biopsies –A
retrospective study. Ijsr -International J Sci
Res. 2015;56(9):56–8.

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