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Twitter ShareSpectrum of Lesions on Upper Gastrointestinal Endoscopy and Its Correlation with Histopathological Evaluation.
Preeti Rajendra Sahu1, Kishor Madhukar Hiwale2, Sunita Jayant Vagha3, Samarth Shukla4
1Department of Pathology, Jawaharlal Nehru Medical College, Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India. 2Department of Pathology, Jawaharlal Nehru Medical College, Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India. 3Department of Pathology, Jawaharlal Nehru Medical College, Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India. 4Department of Pathology, Jawaharlal Nehru Medical College, Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India.
CORRESPONDING AUTHOR
Department of Pathology, Jawaharlal Nehru Medical College, Acharya Vinoba Bhave Rural Hospital, Sawangi, Meghe, Wardha, Maharashtra, India.
Email : preetisahu9811@gmail.com
ABSTRACT
Gastrointestinal (GI) diseases present with symptoms of abdominal pain, heartburn, diarrhoea, nausea, vomiting, flatulence, difficulty in swallowing, dysphagia, bloated abdomen, significant weight loss, fullness after having very little meal, and melena. Taking into account of just the upper GI bleed incidence, it ranges from 50 to 150/100,000 population annually, and time trend analyses suggest that aged people constitute an increasing proportion of those presenting with acute upper GI bleed.1
An upper GI endoscopy or oesophagogastroduodenoscopy/ EGD aids in diagnosing and treating disorders of upper GIT. Endoscopy gives a visual look of GI mucosa and allows tissue sampling, for further assessment by pathologist. Abnormal endoscopic appearance indicates a disease, where biopsy will confirm.2 Histopathological examination (HPE) is the best confirmatory tool to confirm and find the diagnosis.3
Various lesions affecting THE GIT are classified organ wise i.e. oesophageal, gastric and duodenal lesions. Clinical history remains central in evaluating oesophageal symptoms. Chief oesophageal symptoms are pyrosis, reflux, chest pain, dysphagia and odynophagia. Heartburn/pyrosis, is most frequent intermittent oesophageal symptom, presenting as an uneasiness/ burning sensation in retrosternum radiating toward neck. It occurs mostly after eating/while lying recumbent.4
BACKGROUND
Gastrointestinal (GI) diseases present with symptoms of abdominal pain, heartburn, diarrhoea, nausea, vomiting, flatulence, difficulty in swallowing, dysphagia, bloated abdomen, significant weight loss, fullness after having very little meal, and melena. Taking into account of just the upper GI bleed incidence, it ranges from 50 to 150/100,000 population annually, and time trend analyses suggest that aged people constitute an increasing proportion of those presenting with acute upper GI bleed.1
An upper GI endoscopy or oesophagogastroduodenoscopy/ EGD aids in diagnosing and treating disorders of upper GIT. Endoscopy gives a visual look of GI mucosa and allows tissue sampling, for further assessment by pathologist. Abnormal endoscopic appearance indicates a disease, where biopsy will confirm.2 Histopathological examination (HPE) is the best confirmatory tool to confirm and find the diagnosis.3
Various lesions affecting THE GIT are classified organ wise i.e. oesophageal, gastric and duodenal lesions. Clinical history remains central in evaluating oesophageal symptoms. Chief oesophageal symptoms are pyrosis, reflux, chest pain, dysphagia and odynophagia. Heartburn/pyrosis, is most frequent intermittent oesophageal symptom, presenting as an uneasiness/ burning sensation in retrosternum radiating toward neck. It occurs mostly after eating/while lying recumbent.4
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How to cite this article
Sahu PR, Hiwale KM, Vagha SJ, et al. Spectrum of lesions on upper gastrointestinal endoscopy and its correlation with histopathological evaluation. J. Evolution Med. Dent. Sci. 2020;9(32):2301-2306, DOI: 10.14260/jemds/2020/498