Digestive and Liver Disease 43S (2011) S293–S303 Chronic idiopathic in?ammatory bowel diseases: The histology report Matteo Cornaggia a,*, Monica Leutner b, Claudia Mescoli c, o Carlo Sturniolo d , Renzo Gullotta e On behalf of the “Gruppo Italiano Patologi Apparato Digerente (GIPAD)” and of the “Società Italiana di Anatomia Patologica e Citopatologia Diagnostica”/International Academy of Pathology, Italian division (SIAPEC/IAP) aDepartment of Laboratory Medicine, Pathology Unit, Clinica S. Carlo, Paderno Dugnano, Italy . Pathology Unit, University Hospital “Ospedale Maggiore della Carità”, Novara, Italy cDepartment of Diagnostic Medical Sciences & Special Therapies, Pathology Unit, University of Padova, Padova, Italy dDepartment of Gastroenterology & Surgical Sciences, Gastroenterology Unit “R Farini”, University of Padova, Padova, Italy eGastroenterology Unit, Clinica S. Carlo, Paderno Dugnano, Italy Abstract The incidence of chronic idiopathic in?ammatory bowel diseases (IBD) is growing in western countries, making their histological diagnosis an everyday task for all pathologists. Reviews from the literature strongly suggest that such diagnosis cannot be performed on the histological ground alone but requires a clinical-pathological approach. Moreover, bewildering variations can be observed in the terminology employed to report either individual lesions or diagnostic categories. The aim of the present paper is to suggest a practical diagnostic algorithm summarizing the main data from the literature. Particular emphasis has been placed on minimum clinical information required and the accurate de?nition of individual lesions. Diagnostic categories to employ and to avoid in daily practice have furthermore been stressed. ? 2011 Editrice Gastroenterologica Italiana . Published by Elsevier Ltd. All rights reserved. Keywords: Crohn’s disease; GIPAD report; Ulcerative colitis 1. Introduction The diagnosis of chronic idiopathic in?ammatory bowel diseases (IBD) r
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