How to read a gastric endoscopy biopsy report

Feb 23, 2023 Source: Cainiu Health

Dr. Zhou Chao

Introduction

See the conclusion section of the gastric endoscopy biopsy report. Gastric endoscopy biopsy is highly accurate, allowing observation of localized and subtle lesions as well as assessment of lesion severity. If the conclusion section of the biopsy report indicates benign findings, malignant transformation generally does not occur. If the report indicates malignancy, gastric cancer is likely present, and further evaluation is needed to determine the extent of the malignancy and to initiate appropriate treatment.

The biopsy report from a gastroscopy should primarily be evaluated based on the conclusion section.

Gastroscopic biopsy is relatively accurate, allowing clear observation of localized and even minor lesions, as well as an accurate assessment of the severity of the lesion. If the conclusion in the biopsy report indicates a benign condition, malignant transformation is generally unlikely, and the diagnosis may point to chronic atrophic gastritis, chronic superficial gastritis, or similar conditions. If the report indicates malignancy, gastric cancer is suspected, and further evaluation is needed to determine the severity of the tumor, followed by appropriate treatment.

When abnormal gastric mucosa, severe erosion or ulceration, or lesions with indeterminate benign or malignant nature are observed during routine gastroscopy, a small tissue sample should be collected for biopsy. This helps confirm whether the disease is benign or malignant, and patients should actively cooperate with their physicians for subsequent treatment.

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Can I eat fruit after a胃镜 biopsy?

After a gastroscopic biopsy, it is generally acceptable to eat a moderate amount of fruit, but excessive consumption should be avoided to prevent further irritation to the gastrointestinal tract. If the fruit is too cold, it can be warmed before consumption to minimize gastrointestinal irritation. Additionally, if significant gastrointestinal bleeding occurs after the biopsy, fasting is required and fruit should not be consumed for a period of time, as eating fruit could worsen gastrointestinal symptoms.

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Can I eat normally on the day of a gastric biopsy?

In general, patients are not allowed to eat normally on the day of a gastroscopic biopsy. They must remain fasting before the procedure, and the timing and type of food intake after the examination should be determined according to medical advice. Gastroscopic biopsy must be performed on an empty stomach because excessive gastric contents may cause vomiting when the endoscope is inserted into the stomach, potentially leading to aspiration of food.