Journal of Health Care and Research
Article Type: Original Article
J Health Care and Research. 2023 Apr 08;4(1):30-44
Clinicopathological Study of Gastric Biopsies in A Sample of Iraqi Patients
Esraa M Abdullah1*, Ban J Qasim2, Alaa G Hussein2
1Final year Pathology resident, Al-Emamain Al-Kadhmain AS Medical City, Baghdad, Iraq
2Department of Pathology, College of Medicine, Al-Nahrain University, Baghdad, Iraq
Corresponding Author: Esraa M Abdullah
Address: Final year Pathology resident, Al-Emamain Al-Kadhmain AS Medical City, Baghdad, Iraq.
Received date: 28 February 2023; Accepted date: 01 April 2023; Published date: 08 April 2023
Citation: Abdullah EM, Qasim BJ, Hussein AG. Clinicopathological Study of Gastric Biopsies in A Sample of Iraqi Patients. J Health Care and Research. 2023 Apr 08;4(1):30-44.
Copyright © 2023 Abdullah EM, Qasim BJ, Hussein AG. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Gastric Pathology, Iraqi Patients, Clinico-Endoscopic Finding, Histopathological Diagnosis, H. Pylori, Chronic Gastritis, Adenocarcinoma
Objective: To assess gastric pathology in a sample of Iraqi patients in relation to clinico-endoscopic findings, including age, gender, clinical presentation, and endoscopic findings.
Background: Gastric disorders are among the most common problems encountered in clinical practice. The definitive diagnosis is based on histopathological confirmation and is one of the foundations for proper treatment planning.
Materials and Methods: A retrospective study including analysis of 200 cases of gastric biopsies with different clinical presentations and different endoscopic findings collected from the Medical Consultant Office at Al-Nahrain University/ College of Medicine in Baghdad from January 2017 to September 2022. Assessment of histopathological diagnosis in relation to clinical and endoscopic features was done for all enrolled cases.
Results: The majority of cases in this study were female (64%). The most common clinical presentation was epigastric pain (49.5%). Regarding age, 24% of cases were within the age group of 20-29 years, and the most common endoscopic finding was gastropathy (59%). The most common histopathological findings were chronic atrophic gastritis (45%) and chronic superficial gastritis (34.5%) in association with H. pylori (87.5%). The most common polyp type in the present study was hyperplastic polyp (3.5%), whereas fundic polyp was 0.5%. Adenocarcinoma was the most common type of malignancy (4.5%), and diffuse type adenocarcinoma was the most common one.
Conclusion: H. pylori infected more than three-quarters of patients in the recent study with female predominance. Most cases were between 20-29 years, and epigastric pain was the most common clinical presentation. Chronic gastritis was the most common histopathological finding. Adenocarcinoma was the most common malignancy encountered in the present study.