Difference between revisions of "Endoscopic gastrointestinal biopsies"
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{{Endoscopic biopsies}} | {{Endoscopic biopsies}} | ||
+ | {{Comprehensiveness}} | ||
{{Fixation - standard}} | {{Fixation - standard}} | ||
==Gross processing== | ==Gross processing== | ||
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*Preferably stain with eosin if any fragment is smaller than about 0.3 cm | *Preferably stain with eosin if any fragment is smaller than about 0.3 cm | ||
*Biopsies that are thicker than about 3-4 mm generally need to be bisected. | *Biopsies that are thicker than about 3-4 mm generally need to be bisected. | ||
+ | |||
+ | ==Microscopic examination=== | ||
+ | ===Example normal reports=== | ||
+ | ;[[Esophagus]]: | ||
+ | {|class=wikitable | ||
+ | | {{Moderate-begin}}Middle third esophagus, biopsy:{{Moderate-end}}<br>Squamous mucosa without significant histopathologic changes.<br>{{Moderate-begin}}Negative for [[eosinophilic esophagitis]].{{Moderate-end}} | ||
+ | |} | ||
+ | |||
+ | ;[[Gastroesophageal junction]]: | ||
+ | {|class=wikitable | ||
+ | | {{Moderate-begin}}GE junction, biopsy:{{Moderate-end}}<br>Squamous mucosa, '''negative''' for significant histopathologic changes.<br>{{Moderate-begin}}Negative for gastric mucosa or intestinalized (Barrett's) mucosa.{{Moderate-end}} | ||
+ | |} | ||
+ | |||
+ | ;[[Stomach]]: | ||
+ | {|class=wikitable | ||
+ | | {{Moderate-begin}}Gastric, biopsy:{{Moderate-end}} Gastric mucosa without significant pathologic changes.<br>{{Comprehensive-begin}}Negative for helicobacter pylori organisms on H&E slide.{{Comprehensive-end}} | ||
+ | |} | ||
+ | |||
+ | ;[[Duodenum]]: | ||
+ | {|class=wikitable | ||
+ | | (Small bowel, biopsy:) Duodenal mucosa without significant histopathologic changes. (Negative for celiac disease.) | ||
+ | |} | ||
+ | |||
+ | ;[[Colon]]: | ||
+ | {|class=wikitable | ||
+ | | Colonic mucosa, negative for significant histopathologic changes. | ||
+ | |} | ||
+ | |||
{{Bottom}} | {{Bottom}} |
Revision as of 12:42, 28 November 2020
Author:
Mikael Häggström [note 1]
Mostly: |
Contents
Comprehensiveness
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
Fixation
Generally 10% neutral buffered formalin.
Gross processing
- Count the number of fragments. They can be classified as “multiple” at over 5 or 6 specimens. Possibly add “Mixed with luminal material”.
- Preferably stain with eosin if any fragment is smaller than about 0.3 cm
- Biopsies that are thicker than about 3-4 mm generally need to be bisected.
Microscopic examination=
Example normal reports
(Middle third esophagus, biopsy:) Squamous mucosa without significant histopathologic changes. (Negative for eosinophilic esophagitis.) |
(GE junction, biopsy:) Squamous mucosa, negative for significant histopathologic changes. (Negative for gastric mucosa or intestinalized (Barrett's) mucosa.) |
(Gastric, biopsy:) Gastric mucosa without significant pathologic changes. ((Negative for helicobacter pylori organisms on H&E slide.)) |
(Small bowel, biopsy:) Duodenal mucosa without significant histopathologic changes. (Negative for celiac disease.) |
Colonic mucosa, negative for significant histopathologic changes. |
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
Main page
References
Image sources