Abstract

Background: The benign lesions of the lower gastrointestinal tract are responsible for a largenumber of morbidities. The microscopic examination of and determination of histological types ofmalignant lesions help to decide treatment options and to predict prognosis. The histopathologicalstudy is the Gold standard for the diagnosis of intestinal lesions. Aims and Objectives: To studythe prevalence of various lower gastrointestinal tract lesions site-wise, age-wise and gender-wiseand to compare the obtained results with other studies. Materials and methodology: Aretrospective study of 600 various lower gastrointestinal tract lesions sent for histopathologicalexamination at Pathology department of tertiary care centre, VS General Hospital, Ahmedabad iscarried out. Results: Among all the 600 cases, non-neoplastic lesions 572 (95.34%) are far morecommon than neoplastic lesions 28 (4.66%). Conclusion: Non-neoplastic lesions are common in thesmall intestine, while the large intestine harbors most malignant lesions.

Highlights

  • The whole gastrointestinal tract can be divided into upper and lower segments by taking the insertion of the ligament of Treitz as a landmark

  • By thorough histopathological evaluation, such pre-malignant lesions can be diagnosed, treated and it can be very helpful to surgeons to decide and plan treatment options

  • Table Shows that out of 572 non-neoplastic lesions, most non-neoplastic lesions were of appendiceal lesions 247 (43.18%), followed by non-specific inflammation 138(24.12%)

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Summary

Introduction

The whole gastrointestinal tract can be divided into upper and lower segments by taking the insertion of the ligament of Treitz as a landmark. The benign lesions of the lower gastrointestinal tract are frequently found and are responsible for a large number of morbidities. Precise gross and microscopic examination is beneficial in the differential diagnosis of lesions, having a similar clinical presentation and deciding treatment options. By thorough histopathological evaluation, such pre-malignant lesions can be diagnosed, treated and it can be very helpful to surgeons to decide and plan treatment options. Malignant lesions of the lower gastrointestinal tract show various gross and microscopic presentations. The benign lesions of the lower gastrointestinal tract are responsible for a large number of morbidities. The microscopic examination of and determination of histological types of malignant lesions help to decide treatment options and to predict prognosis. Materials and methodology: A retrospective study of 600 various lower gastrointestinal tract lesions sent for histopathological examination at Pathology department of tertiary care centre, VS General Hospital, Ahmedabad is carried out. Conclusion: Non-neoplastic lesions are common in the small intestine, while the large intestine harbors most malignant lesions

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