Gastric perforation biopsy: is it obsolete?
Langenbecks Arch Surg
; 409(1): 139, 2024 Apr 27.
Article
in En
| MEDLINE
| ID: mdl-38676744
ABSTRACT
PURPOSE:
The aim of the study was to test the established hypothesis that biopsies of spontaneous gastric perforations should be taken to rule out cancer.METHODS:
A prospective observational study was performed. Consecutive patients with spontaneous gastric perforation were included. Biopsies of the edges of the perforation were submitted for histological evaluation. The epithelial type as well as the nature of the pathology were evaluated.RESULTS:
Sixty-eight patients were included. Eight (12%) biopsies revealed duodenal origin. Sixty (88%) biopsies revealed gastric mucosa of which 33 (48%) could be specifically typed. All biopsies revealed benign ulceration. No malignancies were detected in these biopsies or on subsequent gastroscopic follow up.CONCLUSION:
This study suggests that routine intraoperative biopsy of gastric perforation may be questioned. Biopsy is probably better performed endoscopically after recovery.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Gastric Mucosa
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Langenbecks Arch Surg
Year:
2024
Document type:
Article
Affiliation country: