Gastroenterology

AmeriPath’s national network of board-certified pathologists provides comprehensive gastrointestinal pathology services utilizing state-of-the-art technologies including immunohistochemistry and molecular diagnostics.

Our nation-leading GI pathology and liver disease expertise combined with the delivery of world-class GI services in your community ensures you receive accurate and decisive diagnostic, prognostic and therapeutic information promptly and in a cost-effective manner.

AmeriPath’s GI pathology leadership team, which is ready to provide you the highest level of medical expertise, diagnostic quality and personal services, comprises industry-renowned, fellowship-trained physicians who are experts in GI pathology, liver pathology and digestive disease subspecialties.

AmeriPath’s GI pathology team includes such experts as Drs. Robert E. Petras, Cecilia M. Fenoglio-Preiser and Terry Gramlich.

AmeriPath’s Institute of Gastrointestinal Pathology and Digestive Disease headed by Dr. Robert E. Petras, MD, features a standing team of GI and liver specialists who provide primary diagnoses, expert consultations and educational programs nationwide.


GI Pathology Services

To help you with your unique needs and challenges as a practicing gastroenterologist AmeriPath offers a combination of industry-leading GI pathology and liver disease expertise and world-class GI pathology services, delivered right in your community. It ensures you always receive accurate and decisive information in an expeditious and cost-effective manner.

Quality GI Pathology Services

  • Board-certified pathologists with subspecialty expertise in GI pathology
  • PhD-level scientists with extensive credentials and experience in their respective field
  • National specialized pathology network
  • Cutting-edge laboratory technologies
  • Access to expert consultants through AmeriPath’s Institute of Gastrointestinal Pathology and Digestive Disease,  headed by world-renowned gastrointestinal  pathologists Robert E. Petras, MD
  • Continual review and recommendations by the AmeriPath Gastrointestinal Pathology resource committee

Direct Communication with Pathologists

  • Pathologists telephonic notification on clinically-unexpected or malignant diagnoses
  • Easy access to pathologists to review patient results
  • Proactive communications to discuss cases and/or to suggest the need for additional testing
  • Reports formatted for clarity and ease of identifying critical information

Rapid Turnaround Time

  • Rapid turnaround time, from specimen receipt to reporting
  • Courier pickups (most areas) eliminate the need for and cost of overnight shipping
  • Results immediately available via multiple reporting options.

Responsive Customer Support

  • Knowledgeable and responsive AmeriPath representatives
  • Centralized client services team with one-number access to:
    • Direct consultation with medical and scientific staff
    • Test information and specimen requirements
    • Courier pick-up
    • Special requests
    • Patients results and reports
    • Supply orders
  • Direct payor billing to ease your workload
  • Complimentary specimen submission supplies

GI Services Team

AmeriPath’s GI pathologists and specialists have the training and experience to provide you the most accurate, highest quality and clinically-relevant information to help you deliver the best possible patient care.

Each GI leadership team member is fellowship-or-expert-trained and is a recognized authority in his or her pathology subspecialty.

The following key members provide critical guidance and assistance to the AmeriPath GI services within each of our regional markets.


Institute of Gastrointestinal Pathology and Digestive Disease

AmeriPath’s Institute of Gastrointestinal Pathology and Digestive Disease is a national resource that provides the services focused upon primary diagnosis, consultations, education and research. The institute’s director, Robert E. Petras, MD, has received worldwide acclaim for his expertise and contributions to the GI pathology and disease management.

Services provided:

  • Primary diagnosis and second-opinion consultations to gastroenterologists nationwide
  • Leadership and expertise to AmeriPath’s referring physicians, residents and network of pathologists subspecializing in GI pathology
  • Consultations from Director Robert E. Petras, MD (GI); Terry Gramlich, MD (liver), William E. Katzin, MD, PhD(GI lymphoma), and their staff of GI and livers specialists
  • Educational services for physicians and residents via clinically-oriented, national speaking engagements and continuing medical education (CME) programs
  • Two, one-year fellowship programs in GI pathology

 

Comprehensive Test Menu

Histology Services: 

  • Routine histology on mucosal biopsy specimens
  • Special stains
  • Immunohistochemistry (IHC)

Cytology Services:

  • Exfoliated (brushings, lavages, fluids)
  • Non-exfoliated (fine-needle aspirations, touch preparations)

Colon Cancer Studies:

  • IHC profile of DNA mismatch repair genes hMlH1, hMSH2, hPMS2 and hMSH6
  • Microsatellite instability testing by polymerase chain reaction (PCR)
  • EGFR phramDx™
  • KRAS, NRAF, BRAF, PIK3CA
  • Gene sequencing for Lynch and polyposis syndromes

Prognostic Tumor Markers:

  • DNA flow cytometry
  • Tumor suppressor target gene p53 by IHC
  • HER2/Neu
  • PCR and FISH analysis for lymphoproliferative disorders and refractory sprue

Focus on Education

  • GI pathology fellowship program:
    • AmeriPath’s GI Institute offers two, fully-funded, one year fellowship in GI pathology
    • Primary focus is on diagnostic GI and liver pathology with more than 35,000 cases
    • Routine cases are augmented by an in-depth review of the more complicated cases that merited consultation with Dr. Petras and/or Dr. Gramlich
    • Dr. Petras lectures extensively at major universities, regional society meetings and national/international conferences and seminars

Enhanced Image Reports

  • Detailed diagnostic reports
  • High-resolution color digital images provide a representation of the key pathological findings
  • Color-coded, anatomic mapping to easily view the distribution and severity of disease
  • Upper GI report samples:
    • Vascular ectasia
    • Barrett’s esophagus
    • Active Gastritis – Heliocobacter pylori
  • Lower GI report samples:
    • Chemotherapy induced colitis
    • Collagenous colitis
    • Intramucosal neuroma
    • Intestinal Spirochetosis

GI Test Menu

Histology Services: 

  • Routine histology on mucosal biopsy specimens
  • Special stains
  • Immunohistochemistry (IHC)

Cytology Services:

  • Exfoliated (brushings, lavages, fluids)
  • Non-exfoliated (fine-needle aspirations, touch preparations)

Colon Cancer Studies:

  • IHC profile of DNA mismatch repair genes hMlH1, hMSH2, hPMS2 and hMSH6
  • Microsatellite instability testing by polymerase chain reaction (PCR)
  • EGFR phramDx™
  • KRAS, NRAF, BRAF, PIK3CA
  • Gene sequencing for Lynch and polyposis syndromes

Prognostic Tumor Markers:

  • DNA flow cytometry
  • Tumor suppressor target gene p53 by IHC
  • HER2/Neu
  • PCR and FISH analysis for lymphoproliferative disorders and refractory sprue

Consultations

  • Second opinions by nationally-renowned, expert GI and liver pathologists

Patient Education 

As part of our service, we provide patient education materials to our referring physicians and their patients. The following three patient education brochures, which address common questions concerning specific diseases and tests, are available for distribution in waiting areas and examination rooms:

– Colon Cancer
– Peptic Ulcers
Stomach Cancer

AmeriPath also provides a series of disease-specific “Patient Diagnostic Fact Sheets” that address common questions and patient concerns. The Patient Diagnostic Facts Sheets are intended for physician issuance to a patient once a diagnosis has been disclosed.

Patient Diagnostic Fact Sheets: