Histopathological spectrum of upper gastrointestinal lesions in a tertiary care centre

Authors

  • Mridula Kamath Kanachur Institute of Medical Sciences. Karnataka, India
  • Suchithra A Shetty Kanachur Institute of Medical Sciences. Karnataka, India
  • Shreesha Khandige Kanachur Institute of Medical Sciences. Karnataka, India

DOI:

https://doi.org/10.21276/apalm.2552

Keywords:

Upper GIT, Histopathology, Biopsy

Abstract

Background: Gastrointestinal disorders are commonly encountered in clinical practice. Histopathologic examination of the endoscopic biopsies will help in definitive diagnosis and early therapeutic intervention. This study is done to know the various lesions presenting in our hospital.

Materials and methods: This is a prospective study done in the Department of Pathology, Kanachur Institute of Medical Sciences between January 2018 to January 2019. 100 cases from esophagus up to the second part of duodenum were studied. The biopsies were sent to the histopathology lab in 10% buffered formalin. They were processed, sectioned and stained with H&E

Results: of the 100 cases, 26 cases were from the esophagus, 66 from the stomach and 8 from duodenum. Of the 26 esophageal biopsies, 6 cases showed dysplastic changes, 4 had hyperplastic epithelium, 3 showed chronic inflammatory changes, 2 showed features of reflux esophagitis and 11 were diagnosed as Squamous cell carcinoma. Of the 66 gastric biopsies, majority were benign, commonest being chronic non specific gastritis. 8 cases were malignant and showed features of Adenocarcinoma. Among the 8 duodenal biopsies all showed features of chronic duodenitis.

Conclusion: Biopsies helps in establishing a definite diagnosis of upper gastrointestinal lesions at an early stage thereby reducing the progression to invasive carcinoma

Author Biographies

Mridula Kamath, Kanachur Institute of Medical Sciences. Karnataka, India

Department of Pathology

Suchithra A Shetty, Kanachur Institute of Medical Sciences. Karnataka, India

Department of Pathology

Shreesha Khandige, Kanachur Institute of Medical Sciences. Karnataka, India

Department of Pathology

References

1. Sheikh BA, Hamdani SM, Malik R. Histopathological spectrum of lesions of upper Gastrointestinal tract-A study of endoscopic biopsies. GJMEDPH. 2015;4(4):1-8.

2. Uma Rani P, Ramya N, Swathi C, Kumara V, Spandana P. Efficacy of endoscopic biopsies in establishing histologic diagnosis of upper gastrointestinal lesions – a one year prospective study. IP Journal of Diagnostic Pathology and Oncology. October-December 2017;2(4):91-94.

3. Krishnappa R, Horakerappa MS, Ali K, Gouri M. A study on histopathological spectrum of upper gastrointestinal tract endoscopic biopsies. Int J Med Res Health Sci. 2013;2(3):418-24.

4. Hussain SI, Reshi R, Akhter G, Beigh A. Clinico histopathological study of upper gastrointestinal tract endoscopic biopsies. Int J of Cur Res Rev. 2015 Aug 15;7(16):78.

5. Shennak MM, Tarawneh MS, Al-Sheik.Upper gastrointestinal diseases in symptomatic Jordanians: A prospective endoscopic study. Ann Saudi Med 1997;17(4): 471-74.

6. Rupendra T, Mamta L, Pradeep KY, Prakash K, Choodamani A, Kamana S. Histopathological study of endoscopic biopsies. J Nepal Med Assoc 2013;52(190):354-6.

7. Paymaster JC, Sanghvi LD, Ganghadaran P. Cancer of gastrointestinal tract in western India. Cancer 1968; 21: 279-87.

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Published

01-10-2019

How to Cite

1.
Kamath M, Shetty SA, Khandige S. Histopathological spectrum of upper gastrointestinal lesions in a tertiary care centre. Ann of Pathol and Lab Med [Internet]. 2019 Oct. 1 [cited 2024 Nov. 23];6(9):A459-462. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/2552

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Original Article