Statement on Best Practices in the Use of Pathology as a Diagnostic Tool for Celiac Disease
| Autor: | Marie E. Robert, Lawrence J. Burgart, Benjamin Lebwohl, Joseph A. Murray, Stefano Guandalini, Rhonda K. Yantiss, Joel K. Greenson, Sheila E. Crowe |
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| Rok vydání: | 2018 |
| Předmět: |
Pathology
medicine.medical_specialty Small Intestinal Biopsy Biopsy Best practice MEDLINE Disease Endoscopy Gastrointestinal Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine medicine Humans Pathology Clinical medicine.diagnostic_test business.industry Gastrointestinal pathology digestive system diseases Endoscopy Celiac Disease Critical appraisal 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Anatomy business |
| Zdroj: | American Journal of Surgical Pathology. 42:e44-e58 |
| ISSN: | 0147-5185 |
| Popis: | Small intestinal biopsy interpretation has been the cornerstone for the diagnosis of celiac disease for over 50 years. Despite the existence of sensitive and specific serological tests, duodenal mucosal biopsies continue to be obtained in the vast majority of patients in whom a diagnosis of celiac disease is being considered. The accurate evaluation of these biopsies requires coordination and information sharing between the gastroenterologist, laboratory, and pathologist in order to optimize tissue sampling, preparation and interpretation. This document, a collaboration between the Rodger C. Haggitt Gastrointestinal Pathology Society and the North American Association for the Study of Celiac Disease, is intended to provide clinicians and pathologists with a summary of best practices in the use of endoscopy and biopsy for patients with suspected celiac disease. The authors present a comprehensive and critical appraisal of the literature with respect to the topics of endoscopic findings, best methods for the obtaining biopsies, completing the pathology form and pathologic assessment, including evaluating intraepithelial lymphocytes and villous architecture. A discussion of conditions with overlapping pathologic findings in duodenal mucosal biopsies is presented. In order to provide additional guidance for challenging situations, the authors include an appendix containing practical suggestions. This review may be utilized in interdisciplinary discussions to optimize care for patients with possible celiac disease. |
| Databáze: | OpenAIRE |
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