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Some More Results In


Meg123

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Meg123 Explorer

I just had my biopsy taken (ie a few hours ago) and will get my results back next week, but he gave me a copy of the report.

It said that everything looked normal except that the 'Z line was abnormal at 40cms' and this was 'possibly from reflux'.

Does anyone know what a 'Z line' is?

He took the 6 biopsys but all looked normal. :unsure:

Anyway, I also got the results back from a faecal test which I'm hoping someone can explain to me.

I thought he was looking for malabsorption and this is what the report says.

Faecal Pancreatic Elastase

Faecal Elastase > 500 Ref range (>200) ug/g faeces

What was he looking for with this does anyone know, and does this mean mine was within normal limits?

I think I must be one of the pple who don't have celiac disease who get a positive blood test. since so far it's not looking good for a positive result.

Although my iron levels are ALWAYS low even on constant supplements, my B12 levels were ok. My folic acid levels were ok too, but then, Ive been on folic acid due to being fertile and married etc.

From what I've read on here and heard from celiac's the GI can usually SEE the damage and see white patches etc when doing the gastroscopy.

Thanks for your help.


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maximoo Enthusiast

From what I understand the endo can have a 30% false positive rate. It cannot always be seen so thats a misnomer. They can only takes samples from a short section like 6 inches but damage could be elsewhere along the 20+ feet of intestinal track. So if you have antibodies most people will just go gluten-free & retest the blood every 6 mths if the antibodies decrease to normal limits then you know you are on the right track.Theres also a new article that was just posted a few dys ago that stated a minimum of 8-11 samples should be taken. I'm sure if you look under article thread you can find it.

Can't offer anything on yr othr tests but Im sure someone will come along who can,

Good Luck!

ravenwoodglass Mentor

If you had positive blood work you have celiac no matter what the results of the biopsies are. There is a up to a 30% false negative rate on both blood and biopsy so if one is positive it is positive.

The doctor can't tell by just looking at the tissue that was biopsied whether it is positive or negative. It needs to be looked at microscopically. Hopefully you are now doing a strict trial of the diet as with positive blood work you do have celiac or gluten intolerance.

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
    • Seaperky
      I found at Disney springs and Disney they have specialist that when told about dietary restrictions they come and talk to you ,explain cross contamination measures tsken and work with you on choices. Its the one place I dont worry once I've explained I have celiac disease.  Thier gluten free options are awesome.
    • Churley
      Have you tried Pure Encapsulations supplements? This is a brand my doctor recommends for me. I have no issues with this brand.
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