Gastrointestinal Pathology

Grocott stain from lamina propria in the GI tract in a case of schistosomiasis
Grocott stain from lamina propria in the GI tract in a case of schistosomiasis

The Division of Gastrointestinal Pathology is committed to providing comprehensive surgical pathology diagnoses related to disorders of the luminal gastrointestinal tract and pancreatobiliary tract. Our subspecialty-trained gastrointestinal pathologists are nationally and internationally recognized and widely sought for their expertise in digestive disorders, including colorectal and appendiceal cancer, diseases of the pancreas and biliary tract, and Barrett’s esophagus. The Division provides comprehensive pathology consultation services for patient care for inflammatory and neoplastic disorders of the digestive system. The GI pathology faculty members are dedicated to teaching our GI Pathology Fellows, Pathology Residents, GI clinicians, and medical students. The GI pathology faculty are actively pursuing GI-related research covering broad areas including the application of molecular diagnostics and digital pathology to GI Pathology.

Clinical Activities

The GI Pathology COE handles over 20,000 GI biopsies, 5,500 GI/pancreatobiliary resections, and over 2,000 GI consults per year reflecting a wide range of inflammatory and neoplastic disorders of the digestive system. Our GI pathology faculty have special expertise in the evaluation of Barrett’s esophagus, appendiceal neoplasms and pseudomyxoma peritonei, colorectal cancer, and pancreatic tumors. Our GI pathology division has incorporated molecular diagnostics and immunohistochemical testing to provide both theranostic and genetic (inheritable) information to our clinical colleagues in real-time.

Research

Faculty members are actively pursuing research in the areas such as Barrett’s esophagus and early-stage esophageal adenocarcinomas, prognostic and predictive molecular and histologic biomarkers in colorectal cancer, classification of appendiceal neoplasms, pathogenesis and characterization of inflammatory bowel disease, molecular profiles of pancreatic cancer and precursor pancreatic neoplasia, and pathogenesis of peritoneal diseases (such as pseudomyxoma peritonei and mesotheliomas).

Teaching

Tumor invading duodenal mucosa in a pancreatic mass
Tumor invading duodenal mucosa in a pancreatic mass

The GI pathology faculty members are nationally and internationally recognized experts in their field and present educational courses in GI and pancreatobiliary pathology at various local, national, and international venues, such as United States & Canadian Academy of Pathology Annual Meeting and the Rodger C. Haggitt Gastrointestinal Pathology Society. Faculty members are also actively involved in teaching pathology residents and fellows through didactic lectures and unknown conferences on topics of the GI tract and pancreas.

Training

The GI Pathology training program provides core clinical diagnostic training in disorders of the luminal GI tract and pancreas. Training is also provided in both hepatic pathology (through our Transplant & Hepatic Pathology Division) and molecular pathology (through our Molecular and Genomic Pathology Laboratory).

Faculty