Is it necessary to obtain gastric biopsies from every patient undergoing gastroscopy? His-tological results in 2486 patients with reported "normal gastroscopy"
Surgical Chronicles, cilt.18, sa.4, ss.206-208, 2013 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 4
- Basım Tarihi: 2013
- Dergi Adı: Surgical Chronicles
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.206-208
- Anahtar Kelimeler: Endoscopy, Gastric biopsies, Normal gastroscopy,Helicobacter pylori
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Is it necessary to obtain gastric biopsies from every patient undergoing gastroscopy whose their results from gastric endoscopy is "normal gastroscopy" Materials and Methods: This study includes 2486 patients referring to endoscopy unit with subtle GIS sypmtoms. All patients underwent standard upper gastrointestinal gastroscopy under conscious sedation following a 6-8 hour fast. A biopsy sample was taken from the prepyloric antrum of all patients found on gastroscopy to be totally normal, and the sample was sent for pathologic assessment. Helicobacter pylori (HP) positivity, neutrophil activity, inflammation and intestinal metaplasia were recorded Statistical analyses were performed using the chi-square test, and statistical significance was set at a P value patients with a normal gastroscopic diagnosis. When we sought to correlate high rates of HP positivity with other findings, we observed correlations with neutrophil activity and inflammation, but not with atrophy or metaplasia.Our results suggest the necessity of taking biopsies from patients with normal gastroscopy findings.