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SC62 - Algorithmic Approach to Diagnosis of Inflammatory Disorders of the GI Tract



Evaluated by:
Laura W. Lamps, M.D., UAMS Health, July 8, 2016
Original release date: March 1, 2016
Access to this course expires on: March 1, 2019
CME/SAMs 3.0

Course Description:
The standard approach in teaching inflammatory disorders of the GI tract is to describe clinical and histologic features of individual diseases entities. This is, however, not the best method of establishing diagnoses when practicing pathology at the microscope, where a constellation of clinical, endoscopic, and histologic features must be analyzed and incorporated into a specific diagnosis. Common inflammatory disorders, such as Barrett's esophagus and inflammatory bowel disease, lead to lifelong surveillance and impose a significant burden on the patients and on health care costs. Accurate and unambiguous diagnosis is, therefore, critical for optimal patient management.

This course covers six of the most common and diagnostically challenging areas of inflammatory disorders involving the GI tract including squamous esophagitis, GE junction biopsies, acute and chronic gastritis, upper and lower intestinal biopsies with inflammation ("enteritis"), and acute and chronic colitis. Most of the common, and selected rare inflammatory disorders, are covered within the context of diagnostic algorithms specific to each site. The course is useful for general surgical pathologists, trainees (residents/fellows) in pathology, and for subspecialty GI pathologists interested in novel educational tools for their residents and fellows.

Target Audience
Practicing academic and community pathologists, and pathologists-in-training

Learning Objectives
Upon completion of this educational activity, learners will be able to:

  • Understand and execute an algorithmic approach to diagnosis of common inflammatory disorders of the GI tract
  • Understand the clinical importance and relevance of using standardized nomenclature in diagnosis of mucosal biopsy specimens
  • Understand the major histologic features that help differentiate clinically and endoscopically similar inflammatory disorders of the GI tract
  • Understand common diagnostic pitfalls in non-neoplastic gastrointestinal pathology and how they may have a major impact on patient management.

The United States and Canadian Academy of Pathology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The United States and Canadian Academy of Pathology designates this enduring material for a maximum of 3  AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The USCAP is approved by the American Board of Pathology (ABP) to offer Self-Assessment credits (SAMs) for the purpose of meeting the ABP requirements for Maintenance of Certification (MOC). Registrants must take and pass the post-test in order to claim SAMs credit.

Physicians can earn a maximum of 3 SAM credit hours.

The faculty, committee members, and staff who are in position to control the content of this activity are required to disclose to USCAP and to learners any relevant financial relationship(s) of the individual or spouse/partner that have occurred within the last 12 months with any commercial interest(s) whose products or services are related to the CME content. USCAP has reviewed all disclosures and resolved or managed all identified conflicts of interest, as applicable.

The following faculty reported no relevant financial relationships: Amitabh Srivastava, MD, and Robert D. Odze, MD, Brigham and Womens Hospital, Boston, MA and Gregory Y. Lauwers, MD, Massachusetts General Hospital, Boston, MA

USCAP staff associated with the development of content for this activity reported no relevant financial relationships.

To earn CME and SAM credit, all learners must take a content-based exam and achieve a minimum score of 80%. If learners do not achieve a passing score of 80%, they have the option to retake the exam. After you pass the test and complete the evaluation, your certificate of completion will be available to view and print by clicking here.