Help Interpresting Endoscopy Biopsy

[AmeliaB100]

I posted a week or so ago about some issues that I am having with my diagnosis. Someone asked me to post my biopsy results from my endoscopy. I never received any replies after that. Can you take a look at this and let me know whether it indicates Celiac to you or not?

 

My pathology report says "Duodenum, Second part, Biopsy: Focal intraepithelial lymphocytosis. The sections through the small bowel biopsy show fragments of duodenal mucosa with focal intraepithelial lymphocytosis and intact villous architecture. There is no evidence of peptic duodenitis or microorganisms." And then at the bottom of the page it says, Interpretation "duod ?sprue mild chr gastritis o h pylori colon bx all neg." Do you want me to scan this page and post it? Or is that enough information?

 

Thanks. I really appreciate it.

[StephanieL]

 intact villous architecture. \

 

And then at the bottom of the page it says, Interpretation "duod ?sprue mild chr gastritis o h pylori colon bx all neg." Do you want me to scan this page and post it? Or is that enough information?

 

Thanks. I really appreciate it.

 

 

 

Intact villi means you don't have blunting/destruction of the villi which is the characteristic they are looking for for a positive Celiac biopsy.  It also pays you are negative for those other issues as well.  

[Noobette]

I had the same biopsy results. This is a Marsh 1, the mildest positive result. Celiac is the most likely reason to have this finding, but it's not definative. Other reasons include: infection, medication reaction, H. pylori, Crohn's, intolerance to a food protein other than gluten, or other autoimmune condition.

 

"duod ?sprue mild chr gastritis o h pylori colon bx all neg."

 

 

I can interpret some of this, but some is unclear. Here's my translation:

Duodenum: possible sprue (celiac)

Mild chronic gastritis (very common, some inflammation/irritation in the stomach)

0 h pylori - I'm not sure what the "o" indicates

Colon biopsies all normal

[AmeliaB100]

Thank you.

[cyclinglady]

Those results were from last year, right? If I recall, you are in the process of doing a gluten challenge. The blood tests should help determine if you have celiac disease. I would insist on the complete panel.

Hang in there!

[nvsmom]

Pages 8 and 9 of this report discuss biopsy results: Open Original Shared Link

 

To me, and I don't know much about the biopsy, it looks like something is off, and there is some damage, but there wasn't enough for a definitive celiac disease diagnosis.  Marsh 1 damage but they do not usually give a celiac disease diagnosis until Marsh 2.  It doesn't mean you don't have celiac disease, but there isn't enough proof for the doctors to sign off on it.

 

Good luck.