European Journal of Cardiovascular Medicine

Background: Since its introduction in 1968, the upper gastrointestinal flexible fibre optic endoscope has proven to be a significant advance in the diagnosis of gastrointestinal tract (GIT) abnormalities.With the advent of flexible endoscopy, there has been a noticeable increase in diagnostic procedures requiring visualisation and biopsy of the upper and lower GI tract.Objectives: To correlate clinical diagnosis with histopathological diagnosis in detecting neoplastic lesions. To correlate endoscopic diagnosis with histopathological diagnosis in detecting neoplastic lesions.Material & Methods Hospital based Observational Cross Sectional Study. Study area:  The present study was carried out on endoscopic biopsy specimens received in the Department of Pathology, at Princess Esra Hospital and Owaisi Hospital and Research Centre; Deccan College of Medical Sciences. Study Period: 1 year. Study population:  Endoscopically directed biopsies were taken from patients with severe upper gastrointestinal symptoms like heart burn, dyspepsia, dysphagia, pain abdomen, vomiting etc. Sample size: study consisted a total of 100 cases. Sampling method: Simple random method.Results: Out of the 100 cases studied, 12 cases were positive for malignancy on histopathology. Out of these 12 cases, 8 cases were diagnosed malignant both on clinical examination and histopathology. 88 cases were negative for malignancy on histopathology, of which 72 cases were negative on both clinical diagnosis and on histopathology. Sensitivity: 66.67 %, Specificity: 81.82 %. Positive predictive value: 33.33 % Negative predictive value: 94.74 %. Accuracy: 80 %, Chi-square test: P-value=0.0025; (The result is significant at P<0.05).Conclusion: Endoscopic procedure in addition with histopathological findings remains the mainstay of diagnostic modality. Our study showed better correlation of histopathological diagnosis with endoscopic findings in detecting lesions of upper GIT. However, endoscopic examination and histopathological study of suspected lesions should always go in parallel and neither of them should be a substitute for each other.