GASTROENTEROLOGY ARTICLE OF THE WEEK
August 16, 2007
Haber MM. Gastric biopsies: increasing the yield. Clin Gastroenterol Hepatol 2007;5:160-165.
1. Manuevers in the GI lab that diminish the quality of endoscopic biopsies include
a. using a large biopsy forceps
b. pressing the open biopsy forceps hard against the mucosa
c. snapping the forceps back quickly to show how fast you are
d. taking double bites
e. putting more than 4 samples in one bottle
2. To use the Sydney system to classify gastric biopsies, the following samples are needed
a. 2 biopsies of the cardia
b. biopsies of the incisura
c. biopsies of the E-G junction
d. biopsies of the lesser and greater curvature
e. antral biopsies from the lesser and greater curvature
f. biopsies from the pyloric channel
True or False
3. Endoscopic biopsies are by design rather superficial and, at best, include only a small portion of submucosa
4. Biopsies from different regions of the stomach do not need to be placed in different jars
5. To correctly classify gastritis, you should, as a minimum, submit 1-3 biopsies, separate and properly labeled from the antrum and the body.
6. The more containers you submit to pathology, the more outfits Travis can buy for Emma