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Surgical Pathology Report- Pd Mimics celiac disease

Opa3

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Opa3 Apprentice
Opa3
Posted

The results of biopsies (Dec,2012) follows:

The small intestines: No evidence of celiac disease in the 3rd and 4th part. However, at the 1st part(duodenum), showed mildly chronic peptic duodenitis, associated with villous architectural damage. The villi were widened/blunted. Negitive for H.pyloric. So stated, PD mimics celiac disease villous abnormalities.

The stomach: Antral mucosa w/mild chronic gastritis. Negitive H.pyloric.

The esophagus: mild mucosal inflammation due to acid reflux. I over indulged in chocolate and balsam vineagrette recently. :angry:

My last endoscopy was Sept, 2007. Similar results(AR/GERD). My GI Doc is pleased with stability of GFD. :) Next endoscopy: 2017.

For GI discomfort, 40mg Omeprazole/1 daily was Rx'ed. Feeling better already.

Make progress, become well and stay well.

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kareng Grand Master
kareng
Posted

PD? personality disorder? Parkinson's Disease? I don't think either if those directly damages the villi like Celiac does. :)

Opa3 Apprentice
Opa3
Posted
  • Author

PD? personality disorder? Parkinson's Disease? I don't think either if those directly damages the villi like Celiac does. :)

PD = peptic duodenitis.

frieze Community Regular
frieze
Posted

The results of biopsies (Dec,2012) follows:

The small intestines: No evidence of celiac disease in the 3rd and 4th part. However, at the 1st part(duodenum), showed mildly chronic peptic duodenitis, associated with villous architectural damage. The villi were widened/blunted. Negitive for H.pyloric. So stated, PD mimics celiac disease villous abnormalities.

The stomach: Antral mucosa w/mild chronic gastritis. Negitive H.pyloric.

The esophagus: mild mucosal inflammation due to acid reflux. I over indulged in chocolate and balsam vineagrette recently. :angry:

My last endoscopy was Sept, 2007. Similar results(AR/GERD). My GI Doc is pleased with stability of GFD. :) Next endoscopy: 2017.

For GI discomfort, 40mg Omeprazole/1 daily was Rx'ed. Feeling better already.

Make progress, become well and stay well.

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Opa3 Apprentice
Opa3
Posted
  • Author

Open Original Shared Link

Interesting link, but a little to complex for me. My doc observed some patchy areas of interest. But not in the 2nd part. That is why no biopsy was taken.

mushroom Proficient
mushroom
Posted

You say no biopsies were taken?? None at all? Certainly the report doesn't mention any :wacko: and yet you talk about 'report of biopsies'. One wouldl think with villous blunting that one would want to rule out celiac disease rather than just say, oh, that's PD :rolleyes: The reason for biopsies, after all, is to see what one cannot see with the naked eye.

Opa3 Apprentice
Opa3
Posted
  • Author

You say no biopsies were taken?? None at all? Certainly the report doesn't mention any :wacko: and yet you talk about 'report of biopsies'.

:huh: I strongly suggest that you re-read my topic. Six (6) biopsies were taken at various places with results as stated therein.

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mushroom Proficient
mushroom
Posted

:huh: I strongly suggest that you re-read my topic. Six (6) biopsies were taken at various places with results as stated therein.

:unsure: I certainly did read your topic. :) You were the one who stated that no biopsies were taken; I now see that you were referring to none from the 2nd part. Based on your statement I assumed what you had reported initially as 'results of biopsies' was his procedure report which did seem rather detailed for the naked eye.

I do think, if I were you, I would be inclined to have someone else look at the slides and verify the duodenitis that 'mimics' celiac, just to be sure. :)

Opa3 Apprentice
Opa3
Posted
  • Author

I do think, if I were you, I would be inclined to have someone else look at the slides and verify the duodenitis that 'mimics' celiac, just to be sure. :)

All is well. :) I'll get a 2nd opinion asap.

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