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It depends on the equipment.  A newer scope can actually see villi destruction, but the older ones can not.  However, damage is often microscopic, so you just have to wait for the pathologist’s report.  

In my case, my diagnosing GI said my small intestine looked fine, but a week later, the pathologist’s report showed a Marsh Stage IIIB (patches of moderate to severe damage).  Five years later, a different GI was able to see healthy villi and take pictures after being on a gluten free diet. The pathologist’s report noted no damage to my small intestine anymore.  

Edited by cyclinglady

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