Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×

  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.



  • Celiac.com Sponsor (A1):

    Celiac.com Sponsor (A1-M):

  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Surgical Pathology Report- Pd Mimics celiac disease

Opa3

Recommended Posts

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.

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):

Celiac.com Sponsor (A8-M):


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.

Open Original Shared Link
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.

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):

Celiac.com Sponsor (A8-M):


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.

Archived

This topic is now archived and is closed to further replies.

Go to topic listing

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate
  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):



    Celiac.com Sponsors (A17-M):



  • Recent Activity

    1. knitty kitty
      - knitty kitty replied to Whyz's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      Feeling ill

      Welcome to the forum! Keep in mind that if you quit eating gluten before all testing is done, you may have inaccurate, possibly false negative, test results. When you stop eating gluten, your body stops making the antibodies which are measured in the blood tests. Stopping gluten before an endoscopy may make the intestinal damage harder to detect, and...
    2. Scott Adams
      - Scott Adams replied to Whyz's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      Feeling ill

      Here is more info about how to do a gluten challenge for a celiac disease blood panel, or for an endoscopy: and this recent study recommends 4-6 slices of wheat bread per day:
    3. Scott Adams
      - Scott Adams replied to Sicilygirl's topic in Coping with Celiac Disease
      2

      fed up italian

      Your feelings are completely valid, and I want to commend you for advocating for yourself despite the initial resistance from your doctor. Navigating a new celiac diagnosis can feel overwhelming, especially when you're adjusting to such a big lifestyle change. It’s natural to grieve the loss of your old eating habits and to feel frustrated by the constant l...
    4. trents
      - trents replied to Whyz's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      Feeling ill

      Welcome to the forum, @Whyz! By "half way to being diagnosed" I assume you mean you have had the blood antibody testing done but not the gastroscopy with biopsy. Is this correct? Were the results of your blood work positive for celiac disease?
    5. trents
      - trents replied to Art Maltman's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      4

      My 5 months of Struggle

      Three days of no gluten is not likely to have much impact on serum antibody test results. I have more concern over exactly what test or tests were ordered. When you get the results back, please post them including the reference ranges for the tests for negative vs. positive. What country are you in? Do you have much choice in what doctors you see? Sounds...
  • Celiac.com Sponsor (A19):


  • Member Statistics

    • Total Members
      126,508
    • Most Online (within 30 mins)
      7,748
    Mafiaprincess
    Newest Member
    Mafiaprincess
    Joined
  • Celiac.com Sponsor (A20):

  • Forum Statistics

    • Total Topics
      120.9k
    • Total Posts
      69.5k
  • Celiac.com Sponsor (A22):



  • Celiac.com Sponsor (A21):


  • Upcoming Events

  • Posts

    • knitty kitty
      Feeling ill

      By knitty kitty · Posted

      Welcome to the forum! Keep in mind that if you quit eating gluten before all testing is done, you may have inaccurate, possibly false negative, test results.  When you stop eating gluten, your body stops making the antibodies which are measured in the blood tests.  Stopping gluten before an endoscopy may make the intestinal damage harder to detect, and a false negative biopsy may result.  As uncomfortable as it is, finish all testing before going gluten free.  
    • Scott Adams
      Feeling ill

      By Scott Adams · Posted

      Here is more info about how to do a gluten challenge for a celiac disease blood panel, or for an endoscopy: and this recent study recommends 4-6 slices of wheat bread per day:    
    • Scott Adams
      fed up italian

      By Scott Adams · Posted

      Your feelings are completely valid, and I want to commend you for advocating for yourself despite the initial resistance from your doctor. Navigating a new celiac diagnosis can feel overwhelming, especially when you're adjusting to such a big lifestyle change. It’s natural to grieve the loss of your old eating habits and to feel frustrated by the constant label-reading and vigilance required. But please know that you are not alone, and many others have walked this path and come out stronger on the other side. Healing takes time, and while the brain fog, fatigue, and bowel symptoms can be discouraging, they often improve as your body begins to recover. It’s great that you’ve hired a dietitian—that’s a big step in supporting your healing journey and ensuring you’re getting the nutrients your body needs to rebuild. Remember, each small step you take is progress, even if it doesn’t feel like it right now. It’s okay to feel sad and angry, but also try to give yourself credit for your strength in facing this. The fact that you pushed for answers shows how resilient you are. While the road ahead may have challenges, many people find that over time, they feel better than they ever imagined possible once their gut begins to heal. You’ve got this, and the celiac community is here to support you every step of the way. If you have time, this book was published on Celiac.com's and you might find it helpful: Also, this article has some detailed information on how to be 100% gluten-free, so it may be helpful (be sure to also read the comments section.):    
    • trents
      Feeling ill

      By trents · Posted

      Welcome to the forum, @Whyz! By "half way to being diagnosed" I assume you mean you have had the blood antibody testing done but not the gastroscopy with biopsy. Is this correct? Were the results of your blood work positive for celiac disease?
    • trents
      My 5 months of Struggle

      By trents · Posted

      Three days of no gluten is not likely to have much impact on serum antibody test results. I have more concern over exactly what test or tests were ordered. When you get the results back, please post them including the reference ranges for the tests for negative vs. positive. What country are you in? Do you have much choice in what doctors you see? Sounds like it might be a good idea to seek out another physician who knows what they are doing in this area of disease diagnosis. At any rate, you have the link I shared above outlining the various tests that can be run so that might be a resource you could share with a physician.
×
×
  • Create New...