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New Kids on the Block.

Dipti M Karamchandani1, Hazed Hammad2, Runjan Chetty3

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Pathologists face new gastrointestinal foreign materials from iatrogenic agents. Accurate identification of these materials, like pharmaceutical fillers and resins, is crucial for correct diagnosis and avoiding further testing.

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Area of Science:

  • Gastrointestinal Pathology
  • Diagnostic Histology
  • Iatrogenic Material Identification

Background:

  • Pathologists increasingly encounter novel foreign materials in gastrointestinal specimens due to rising use of iatrogenic agents.
  • Unfamiliarity with these materials can lead to diagnostic challenges, particularly without clinical history.

Purpose of the Study:

  • To review the histopathologic features, clinical significance, and differential diagnoses of emerging iatrogenic agents found in GI specimens.
  • To cover agents including pharmaceutical fillers, submucosal lifting agents, lanthanum carbonate, hydrophilic polymers, OsmoPrep, yttrium 90 microspheres, and resins.

Main Methods:

  • Compilation of findings from published literature, including recent research.
  • Inclusion of authors' personal experiences from clinical sign-out and consult cases.

Main Results:

  • Detailed histopathologic characteristics of various iatrogenic agents are presented.
  • Clinical scenarios and diagnostic implications are discussed for each agent.

Conclusions:

  • Correct identification of iatrogenic agents is vital for explaining histopathologic findings and guiding further diagnoses.
  • Awareness of these agents, even inert ones, prevents misdiagnosis and unnecessary investigations.