THE CONCEDING OF UPPER GASTROINTESTINAL LESION ENDOSCOPIC BIOPSY: A BARE MINIMUM FOR DIAGNOSIS.

DR SHREESHA KHANDIGE; DR SUCHITHRA SHETTY; DR RAGINI THAPA

Volume : IV, Issue : II, February - 2015

THE CONCEDING OF UPPER GASTROINTESTINAL LESION ENDOSCOPIC BIOPSY: A BARE MINIMUM FOR DIAGNOSIS.

Dr Shreesha Khandige, Dr Suchithra Shetty, Dr Ragini Thapa

Abstract :

Introduction: Neoplasms of upper gastrointestinal tract, mainly malignancies are one of the leading causes of death in world population.The emergence of endoscopic biopsy has facilitated the early detection and diagnosis of all gastrointestinal lesions. Objective:This retrospective study is taken to find out morphological pattern and frequencies of lesion reported in upper gastrointestinal (GI) tract. Materials & Methods: Ninety-two patients with upper GI biopsy were included in the study period of two years. Multiple Serial sections, 3 - 5 � were stained with Haematoxylin & Eosin (H&E) stain and studied. Results: Analysis of 92 upper gastrointestinal biopsies was done and results obtained. Male: female ratio of 3:1 was obtained with an age range of 11-80 years.Among all biopsies oesophageal biopsies were 38(41.30%), gastric biopsies were 49(53.26%) and duodenal biopsies were about 5(5.44%).The commonly encountered lesions are oesophageal carcinoma 32(34.8%), Gastric carcinoma 21(22.8%) and gastritis 21(22.8%). Conclusion: This study concludes that endoscopic biopsy of Upper Gastro-Intestinal lesions increases the detection rate of Upper GI lesions. Therefore we can say that endoscopy is invariably incompletewithout biopsy and so the combination of methods provides the single most powerful diagnostic tool for better patientmanagement.