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The Endoscopically Normal Stomach: Is It Worth a Biopsy?

In the absence of endoscopically visible lesions (such as tumors or ulcers), the gross appearance of the gastric mucosa is not believed by some gastroenterologists to be a reliable predictor of histopathologic findings. This is because in their experience, biopsies obtained from endoscopically abnormal-appearing areas with “erythema,” “inflammation,” or “atrophy,” often turn out to be histologically unremarkable. Using a kind of a fortiori reasoning, they assume that if endoscopically abnormal areas often reveal no histopathologic findings, then surely neither should endoscopically normal areas.

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We’re pleased with the excellent MU resources that Steve Sharp has provided, and the advocacy he has taken on our behalf. Howard Gervasoni is a true MU SME, helping us to understand the rules and their applicability to us on a pragmatic basis, assisting [with] implementing the compliance mechanics within our practice’s clinical operations, guiding our scorekeeping analytics as we monitored our performance through the measurement periods, testing our IT systems and security as appropriate, and supporting our input submission and validation processes. In addition to technical competence, he has great interpersonal skills—important in helping irritated lay people deal with a perceived “nuisance” endeavor. The “bottom line” is that with Miraca’s help we achieved our MU goals which were of significant consequence to us!
— Morgan Hunnewell, Practice Manager; Ron Drabik, Project Administrator; Dr. Vinod Thakkar, President,
Thakkar, Patel & Avalos, Sebring, Fla.

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