Objective: To audit the degree of completeness of histopathological reports
of chronic gastritis for prognostic information in a tertiary care hospital in
the light of the updated Sydney system.
Material and Methods: One hundred and eighteen (118) reports of chronic
gastritis from January to December 2014 were reviewed against the
requirements of the updated Sydney system for the histological reporting of
chronic gastritis from endoscopic gastric biopsy specimens.
Results: Majority of our reports still do not comply with the requirements of
the updated Sydney system for the reporting of chronic gastritis from
endoscopic gastric biopsies, for instance, only 26.3% contained
information on the topography of gastritis, while 32.2% made any
comments concerning aetiology. The percentages are much lower as for the
reporting of graded variables.
Conclusion: The quality of histopathological reports of chronic gastritis is
unsatisfactory overall, as far as the Sydney system is concerned. Many of
our reports do not contain most of its important elements or completely
ignore its use. We strongly recommend that our pathologists should fully
embrace this system of reportage for chronic gastritis in line with
international best practice.
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