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The Utility of Endoscopic Biopsies in Patients with Normal Upper Endoscopy
Joint Authors
Teriaky, Anouar
AlNasser, Abdullah
McLean, Carolyn
Gregor, James
Yan, Brian
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background and Aims.
Upper endoscopy is a valuable tool in the workup of gastrointestinal (GI) complaints.
The purpose of this study is to determine cost and yield of taking biopsies in a normal upper GI tract.
Methods.
This is a retrospective study where all upper GI biopsies were identified between May 2012 and April 2013, at a tertiary care center.
Clinical, procedural, and pathology reports were reviewed to identify patient demographics, procedure information, and pathology diagnosis.
Results.
Biopsies of the upper GI tract were taken in 1297 patients with normal upper endoscopies.
In patients with normal upper endoscopy, 22% of esophageal, 44% of gastric, and 12% of duodenal biopsies were abnormal.
The most frequent abnormality was reflux esophagitis in 16% of esophageal biopsies, chronic gastritis in 23% of gastric biopsies, and increased intraepithelial lymphocytes in 6% of duodenal biopsies.
The additional cost for taking biopsies in a normal upper GI tract for a diagnosis of eosinophilic esophagitis was $2963 Canadian (CAD), H.
pylori associated gastritis was $1404 CAD, and celiac disease was $3024 CAD.
Conclusions.
The yield of biopsy in normal upper endoscopy varied with location, but the additional expense can be costly and should be tailored to appropriate clinical situations.
American Psychological Association (APA)
Teriaky, Anouar& AlNasser, Abdullah& McLean, Carolyn& Gregor, James& Yan, Brian. 2016. The Utility of Endoscopic Biopsies in Patients with Normal Upper Endoscopy. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1099864
Modern Language Association (MLA)
Teriaky, Anouar…[et al.]. The Utility of Endoscopic Biopsies in Patients with Normal Upper Endoscopy. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1099864
American Medical Association (AMA)
Teriaky, Anouar& AlNasser, Abdullah& McLean, Carolyn& Gregor, James& Yan, Brian. The Utility of Endoscopic Biopsies in Patients with Normal Upper Endoscopy. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1099864
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099864