Heres My Neg. Endo. Path Report

[taynichaf]

Everything on it says it's normal except this one thing...

 

For : Biopsy GE Junction it says 

-gastric-type mucosa, no evidence of intestinal metaplasia

-chronic inflammation, mild

 

So where do I have chronic inflamation?? Is that just my GERD diagnoses?? Or my hiatal hernia??

 

btw, my doctors talk about it as if GERD and a hiatal hernia are the same thing...I'm confused!

 

Thanks.

[taynichaf]

Yupp it's im GERD.. ha

[kareng]

Everything on it says it's normal except this one thing...

 

For : Biopsy GE Junction it says 

-gastric-type mucosa, no evidence of intestinal metaplasia

-chronic inflammation, mild

 

So where do I have chronic inflamation?? Is that just my GERD diagnoses?? Or my hiatal hernia??

 

btw, my doctors talk about it as if GERD and a hiatal hernia are the same thing...I'm confused!

 

Thanks.

That might be GERd but it doesn't mention a hernia. Is there more to this? Where are the multiple intestinal biopsies? Didn't they take any?

[taynichaf]

I'll just post the whole thing

[freeme808]

 I want to see what your report looks like!

[taynichaf]

Biopsies show:

No evidence of Celiac disease. Continue Probiotics & increase fiber to 25gms daily.

 

Copy of path report.

 

Surgical procedure:

EGD with biopsies; colonoscopy with biopsies

 

Tissues:

 

A. Duodenum, NOS

B. Gastric antrum

C. gastro-esophageal junction

D. colon - random colon

 

Diagnosis

 

A. Biopsy Duodenum --

    --  Duodenal mucosa (19 fragments) without evidence of villous blunting or active inflammation

 

B. Biopsy Gastric Antrum --

    --  Antral mucosa without inflammation

    --  Negative for helicobacter pylori

 

C. Biopsy GE junction --

    --  gastric-type mucosa, no evidence of intestinal metaplasia

    --  Chronic inflammation, mild

 

D. Random colon biopsy --

    --  colonic mucosa, no evidence of lymphocytic or collagenous colitis

    --  no evidence of active inflammation

 

 

 

Continued...

 

Microscopic description:

 

A. Sections are of nineteens fragments of colonic mucosa shoing a villous architecture. An underlying lymphocytic and plasmacytic infiltrate is present. Active inflammation or villous blunting is not evident.

 

B. Sections are of the gastric antral mucosa are without inflammation. Special stains for helicobacter pylori are negative.

 

C. Sections of the GE junction consist of fragments of gastric-type mucosa with adjacent squamous mucosa. The gastric component does not show any intestinal metaplasia. Mild chronic inflammation is present.

 

D. Sections are of fragments of colonic mucosa in which the glandular pattern is uniform. There is a diffuse mild lymphocytic and plasmacytic infiltrate throughout the lamina propria. The trichrome stain does not show thickening of the basement membrane.

 

Note: All controls show appropriate reactivity.

 

 

 

Gross description:

 

A. Received in formalin labeled 'biopsy, duodenum count number of biopsies, rule out celiac disease' , the specimen consists of nineteen tissue fragments, 0.3-0.4 cm. The entire specimen is submitted in cassette A.

 

B. Recieved in formalin labeled 'biopsy, gastric antrum' ,the specimen consists of two pale pink tissues, 0.2 and 0.7 cm, submitted in cassette B.

 

C. Received in formalin labeled 'biopsy, GE junction' , the specimen consists of three white tissue fragments, 0.2-0.4 cm, submitted in cassette C.

 

D. Received in formalin labeled 'random colon biopsy' , the speciment consists of ten white tissue fragments, 0.2-0.5 cm, submitted in cassette D. 

 

----------------------

 

For whoever reads through all this, thank you!! I underlined the descriptions that show something that seems abnormal, and I dont understand what it means.

[taynichaf]

Anyone!?!?

[freeme808]

Hey, thank you for sharing. 

Im no expert, but looks like everything's normal except the inflammation that you noted in the first post. You should be happy that everything looks good...now you don't have to worry. I'd definitely continue gluten, and dairy free. Maybe even watch your sugar for a while....and make sure your taking a good probiotic. There are so many out there, not all of them are good. 

I'm happy that you know what's going on now...I'm looking forward to getting there myself. I feel so horrible, and I look like Shamu the whale lol. I've bloated and swelled up so much! Have a bout a month left, I figured since I've been on gluten for a couple months now, that Im just going to eat two pieces of toast in the morning. Lol, there's no need to engorge myself for this diagnosis. 

 

Good luck Tayni!