Are we reporting ileal pouch biopsies correctly?

Aim  The accuracy of ileo‐anal pouch biopsy reporting was assessed. Method  The pathology reports of 100 consecutive pouch biopsies were reviewed to assess the accuracy and consistency with which the St Mark’s histological scoring criteria were applied. The quality of pouch biopsy sampling and provi...

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Bibliographic Details
Published in:Colorectal disease 2011-11, Vol.13 (11), p.1285-1289
Main Authors: Royston, D. J., Warren, B. F.
Format: Article
Language:English
Subjects:
Biopsy
biopsy reporting
Colonic Pouches - pathology
Endoscopy, Gastrointestinal
Humans
Ileo-anal pouch
Medical Records - standards
pouchitis
Pouchitis - pathology
Reproducibility of Results
Retrospective Studies
St Mark's score
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Summary:Aim  The accuracy of ileo‐anal pouch biopsy reporting was assessed. Method  The pathology reports of 100 consecutive pouch biopsies were reviewed to assess the accuracy and consistency with which the St Mark’s histological scoring criteria were applied. The quality of pouch biopsy sampling and provision of clinical and endoscopic information on pathology request forms was also assessed. Results  In 27% of cases no relevant endoscopic or clinical information was provided with the pathology request form. Separately labelled biopsies from the prepouch ileum, pouch and columnar cuff were submitted in only 4% of cases. In 32% of pathology reports, no acute or chronic St Mark’s score was included. In 2% of cases the St Mark’s scoring criteria were applied inappropriately. Twenty per cent of cases histologically diagnosed as pouchitis did not include a numerical score. In 30% of cases diagnosed histologically as pouchitis, an acute inflammatory score of
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2010.02452.x