Diagnosis
Upper-Gastrointestinal Biopsy to Evaluate Dyspepsia
in the Adult Patient in the Absence of Visible Mucosal Lesions
EGD performed in patients with dyspepsia
as the only indication
Normal esophagus
and GE junction
a
Biopsy may be appropriate in patients at high risk for celiac disease
b
In post-BMT patients
NO YES
5-biopsy Sydney
system in 1 jar
Normal gastric body
and antrum
Normal
duodenum
No biopsy HP status known? Immunocompromised?
No biopsy
NO YES
No biopsy
a
Biopsies for
GVHD
b
or OIs
Routine special
stain not
warranted
Routine special
stain not
warranted
