Biopsy Results Are Here. Help Me Pick Through Them

[jaggirl47]

I will start off by first posting the procedure report then follow that with the biopsy results. I apologize ahead of time for the long post but I need help so I know what to say to the doctor next week at my son's follow up.

 

Procedure Report:

 

The 2nd part of the duodenum appeared normal. Four biopsies were obtained with cold forceps for histology in the 2nd part of the duodenum.

    -That's correct folks. After assuring me the duodenal bulb would be biopsied he did zero from there and only 4 total in the duodenum.

 

The gastric antrum appeared normal. Biopsies were taken with cold forceps.

 

The lower 3rd of the esophagus appeared normal. Biopsies were taken with cold forceps.

 

The middle 3rd of the esophagus appeared normal. Biopsies were taken with cold forceps.

 

The cardia and gastric fundus were normal on retroflexion.

 

Biopsy Results

 

Small bowel, duodenum-small bowel mucosa with no significant pathologic changes.

 

Stomach, antrum-Mild chronic inactive gastritis. No h-pylori like organisms seen.

 

Esophagus, lower-Squamous mucosa with basal cell hyperplasia and up to 15 intraepithelial eosinophils per high power field

 

Esophagus, mid-Squamous mucosa with no significant pathologic change.

 

 

When they called me yesterday they informed me my son has GERD but nothing else. According to what I am reading, he has eosinophilic esophagitis because GERD is less than 10 intraepithelial eosinophils where EE is 15. He also has the chronic gastritis which I am finding reports on this being seen in celiac and other autoimmune disorders.

I plan on contacting the lab to find out the more in depth reports.

[StephanieL]

It says up to 15 and I think with EoE it's above that so it may be on the boarder. I think a lot of times they try meds and scope again to see what happens when on meds.  I know there are EoE people over on a site called Kids with Food Allergies (though I know EoE isn't an allergy, they have a GI specific form).  Perhaps check with them over there.

[jaggirl47]

From what I am reading GERD is below 10 with the vast majority being at 7 or below. Another tip off is that my son has had high peripheral eosinophils from the age of 3. I probably should have added that above. From texts, high peripheral eosinophils are seen in EE but never GERD.

[jaggirl47]

Oh, I forgot to add that he had blood drawn for an IgE allergy panel today.