Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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REVIEW ARTICLE

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Volume 25

October - December 2009 (Part-I)

Number  5


 

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Is biopsy needed in every gastritis
found during endoscopy?

Muhammad Zubair1, Muhammad Ali Channa2,
Masoom Raza Mirza3, Lubna Habib4

ABSTRACT

Objective: To find out concordance between endoscopic and histological diagnosis of gastritis in dyspeptic patients.

Methodology: All dyspeptic patients who underwent upper gastrointestinal endoscopy with endoscopic diagnosis of gastritis and available biopsy report from July 2006 to June 2008 in Hamdard Medical University Hospital and different private hospitals of Karachi were included in this study. The endoscopist formed a global impression on the presence or otherwise of gastritis according to the Sydney System. Patients with ulcer, growth and any other endoscopic diagnosis apart from gastritis were excluded. With standard biopsy forceps, minimum of two gastric biopsies from inflamed mucosa were taken for histological evidence of gastritis.

Results: Total 112 patients (44 males and 68 females) were included in the study with mean age of 41.95 years. Most common symptom experienced by patients was epigastric discomfort in 103 (92%) of patients. In all patients endoscopic diagnosis was gastritis. Biopsy reports showed chronic gastritis in 109 (97.3%) patients.

Conclusion: There is good concordance of endoscopic findings of gastritis with histological evidence of gastritis and thus biopsy is not required in every case of gastritis.

KEYWORDS: Endoscopic gastritis, Dyspepsia, Biopsy, Histology.

Pak J Med Sci    October - December 2009 (Part-I)    Vol. 25 No. 5    849-851

How to cite this article:

Zubair M, Channa MA, Mirza MR, Habib L. Is biopsy needed in every gastritis found during endoscopy? Pak J Med Sci 2009;25(5):849-851.


1. Dr. Muhammad Zubair, FCPS, FRCS
Senior Registrar,
Surgical Unit IV,
Dow University of Health Sciences and
Civil Hospital, Karachi - Pakistan.
2. Dr. Muhammad. Ali Channa, FCPS
Senior Registrar,
3. Dr. Masoom Raza Mirza, FRCS
Associate Professor,
4. Dr. Lubna Habib, FCPS
Assistant Professor,
2-4: Hamdard College of Medicine & Dentistry,
Hamdard University Hospital,
Karachi - Pakistan.

Correspondence

Dr. Muhammad Zubair, FCPS, FRCS
Email: drmzubair@hotmail.com

* Received for Publication: April 6, 2009

* Revision Received: September 5, 2009

* Revisions Accepted: September 7, 2009



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