An Evaluating the Accuracy of Endoscopic diagnosis : A comparative analysis with Histopathology in Upper and Lower GI Tract Disorders

  • Rathore S MD Pathology, Assistant Professor, Department of Pathology, Shri Balaji Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Singh PK DNB Gastroenterology, MD Medicine, Assistant Professor, Department of Medicine, Shri Balaji Institute of Medical Sciences, Raipur, Chhattisgarh, India
Keywords: Keywords: Endoscopy, Histopathology, GI Disorders, Upper GI, Colonoscopy

Abstract

ABSTRACT

Background: Endoscopy and histopathology are complementary tools in diagnosing gastrointestinal (GI) disorders. While endoscopy provides macroscopic visualization, histopathology offers definitive microscopic diagnosis. This study aims to evaluate the correlation between endoscopic findings and histopathological results in upper and lower GI disorders.

Objectives:

  1. To assess the diagnostic correlation between endoscopic impressions and histopathological diagnosis.
  2. To determine the accuracy of endoscopy in detecting various upper and lower GI tract pathologies.

Methods: A retrospective study was conducted on 200 patients undergoing upper GI endoscopy (UGIE) and Colonoscopy for GI symptoms. Endoscopic findings were documented and correlated with histopathology reports of biopsy specimens.

Results: Endoscopic and histopathological findings were consistent in 92% of upper GI cases and 90.6% of lower GI cases. Among 125 upper GI cases, 115 were concordant, and among 75 lower GI cases, 68 were concordant. Highest correlation was observed in cases of gastric ulcers, esophagitis, colorectal polyps, and inflammatory bowel disease (IBD) and malignancy.

Conclusion: Endoscopy is a reliable initial diagnostic tool. However, histopathological confirmation is essential, especially in cases with subtle or ambiguous endoscopic findings.

Keywords: Endoscopy, Histopathology, GI Disorders, Upper GI, Colonoscopy.

 

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How to Cite
1.
Rathore S, Singh PK. An Evaluating the Accuracy of Endoscopic diagnosis : A comparative analysis with Histopathology in Upper and Lower GI Tract Disorders. Int J Med Res Rev [Internet]. 2025Jul.24 [cited 2025Jul.30];13(3):1-. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1553
Issue
Vol 13 No 3 (2025): Jul-Sep
Section
Original Article

Copyright (c) 2025 Author (s). Published by Siddharth Health Research and Social Welfare Society

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