Gi Pathology Report

[artselegance]

Opinoins Wanted:

1. Duodenum: Usual villous architecture with mildly increased intraepithelial T lymphocytes.

2. Gastric Body: Minimal chronic gastritis. No Helicobacter identified.

Microscopic Description:

1. Duodenum: The duodenal mucosa shows the usual villous architecture without effacement or blunting. No significant chronic inflammatory reaction is identified. There is a marked increase in the number of lymphocytes within the epithelium. While this change in nonspecific and has been associated with Helicobacter gastritis and other pathologic entities, it should raise the clinical suspicion for sprue in the appropriate clinical setting.

2. Gastric Antrum: The gastric mucosa contains infrequent small clusters of lymphocytes and plasma cells. No acute inflammation is present.. Negative for internal metaplasia. These changes are mild, nonspecific and insufficient for a diagnosis of gastritis.

I am waiting on the blood work, should be another 5-7 days according to nurse. Just tell me if you know what this means.

[ShayFL]

Looks like mild intestinal irritation. If your blood labs come back POS. A gluten free diet is the answer, no matter what the doctors say.

The PROOF is in the diet. You will know once you are on the diet long enough if it is the culprit.

[nora-n]

If you read and go back in time in thefooddoc.com 's blog, he would say this is significant, they are even discussing lowering the amount of IEL for diagnosing celiac, from 30 per 100 to 20 per 100. You had a significant amount.

Increased IEL is even on the MARSH scale, it is 1 or 2 or something.

If you google marsh and celiac you might fid the scale.

nora

[ravenwoodglass]

Opinoins Wanted:

1. Duodenum: Usual villous architecture with mildly increased intraepithelial T lymphocytes.

2. Gastric Body: Minimal chronic gastritis. No Helicobacter identified.

Microscopic Description:

1. Duodenum: The duodenal mucosa shows the usual villous architecture without effacement or blunting. No significant chronic inflammatory reaction is identified. There is a marked increase in the number of lymphocytes within the epithelium. While this change in nonspecific and has been associated with Helicobacter gastritis and other pathologic entities, it should raise the clinical suspicion for sprue in the appropriate clinical setting.

2. Gastric Antrum: The gastric mucosa contains infrequent small clusters of lymphocytes and plasma cells. No acute inflammation is present.. Negative for internal metaplasia. These changes are mild, nonspecific and insufficient for a diagnosis of gastritis.

I am waiting on the blood work, should be another 5-7 days according to nurse. Just tell me if you know what this means.

What this is saying is that if you also have symptoms suggestive of celiac sprue that would be considered to be the diagnosis. The inflammation is also suggestive of celiac as is the increase in the T cells. You should give the diet a really strict go even if the blood work is negative. It looks like you got lucky and things were caught before you got to the end stages, full villi destruction. It is better if you don't get to that point so if the doctor tells you that he thinks it 'might be celiac but how about you keep eating gluten for another year and then we will recheck you and by the way here is a handful of pills for the symptoms your having' you might want to go gluten free and then get checked again if the problems don't resolve.

[happygirl]

How many biopsy samples were taken (it should say that in the pathology report)?

[artselegance]

How many biopsy samples were taken (it should say that in the pathology report)?

Three biospy samples were taken...

And I have been gluten-free since Monday after my blood was drawn...or very close anyway, just really noting everything that goes into my mouth and how it makes me feel. I did have some Churn Style Country Crock margarine on rice on Tuesday night and felt like that really didn't set well with me.

Also, I want to know about water.....since I am B12 deficient and there is a malabsorption problem, I think water sometimes just bloats me and is not absorbing.... would this make any sense?

Some positive things since Monday are I have not once taken a nap this week after work, more energy noted, mood seems to be lots calmer, went to bathroom this morning for what I felt was kinda normal....

Thanks for all your responses....