What Exactly Does This Mean?

[dhiltonlittle]

"mild chronic duodenitis with focal scalloping, shortening and blunting of villi without intraepithelial lymphocytosis; inconclusive for a definite diagnosis of celiac disease. follow up and clinical correlation with serologic findings/antibody testing suggested."

[mushroom]

It means that you have some inflammation of the duodenum of longstanding, and that your have some damage to your villi in the small intestine with no white blood cells present. Based on these findings the doctor is not prepared to make a diagnosis of celiac and recommends that the findings be followed up with celiac blood testing.

[dhiltonlittle]

It means that you have some inflammation of the duodenum of longstanding, and that your have some damage to your villi in the small intestine with no white blood cells present. Based on these findings the doctor is not prepared to make a diagnosis of celiac and recommends that the findings be followed up with celiac blood testing.

thanks, that makes a lot more sense!

i do have elevated antigliadin antibodies (39 with cut off <11). all other blood test were in normal range. also, am hypothyroid. what other things can cause damage to the small intestine like this that i should look into? i went to the celiac center at columbia who are also running some test but i don't go back for another 6 weeks or so....

[Simona19]

It means that you have some inflammation of the duodenum of longstanding, and that your have some damage to your villi in the small intestine with no white blood cells present. Based on these findings the doctor is not prepared to make a diagnosis of celiac and recommends that the findings be followed up with celiac blood testing.

Hi! I'm very surpriced that you knew what the doctor was writing about. Can you help me with this? What it mean?

Duodenum, biopsy: Small bowel mucosa with focal epithelial infiltration by lymphocytes (>40 lymphocytes/100 enterocytes). The villous architecture is preserved. No crypt hyperplasia identified. The findings are nonspecific and are associated with early celiac disease (MarshI). Correlation with clinical findings and serology suggested.

[ravenwoodglass]

thanks, that makes a lot more sense!

i do have elevated antigliadin antibodies (39 with cut off <11). all other blood test were in normal range. also, am hypothyroid. what other things can cause damage to the small intestine like this that i should look into? i went to the celiac center at columbia who are also running some test but i don't go back for another 6 weeks or so....

Those biopsy finding combined with a postive blood test mean you are likely celiac. Have you started the diet yet? Since you are done with blood work and biopsy a dietary trial is your next step and should take care of the issues you are having. You don't need to wait for the doctors appointment to get started.

[dhiltonlittle]

Those biopsy finding combined with a postive blood test mean you are likely celiac. Have you started the diet yet? Since you are done with blood work and biopsy a dietary trial is your next step and should take care of the issues you are having. You don't need to wait for the doctors appointment to get started.

yeah i've been gluten free for about 4 months now and have seen a lot of improvement since. not sure if it's the diet, time passing/healing, or the thyroid meds but i have seen some improvement over the last few months. the positive blood test that i had they said is very non specific and could be elevated for other reasons. me and my current doctor seem to be at a stand still with it which is why i went to columbia to get their input. curious what they have to say after looking over all of my old results and the tests that they are running as well.

[Simona19]

My tests are also confusing, but I'm staying on the gluten free diet. Everybody here gave me a very good advice, and I'm feeling much better.