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Gastroenterology (Expert Forum)
Biopsy Report
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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Biopsy Report
by nanci, Aug 26, 2002 12:00AM
I posted a few weeks ago about my diagnosis and the info I received from the doctor's office. His nurse read the report to me saying it was Chronic Gastritis with Intestinal Metaplasia. When I asked for an explanation of IM, she said it was like a tissue forming for the stomach to heal itself. My search on the internet told me a different story so I called back and she told me the doctor did not read IM as precanceous. That I did not have GERD at all and IM is sometimes precanceous in Barretts but in my case, it was clearly tissue healing. She suggested that I speak to the doctor personally so I made an app't to meet with him on 9-12.
Last week, I had the hospital fax me the pathology report. It reads as follows....
DIAGNOSIS: Gastric Biopsies
- Chronic Gastritis with Intestinal Metaplasia
- Fragments of Duodenal Mucosa
COMMENT: Alcian yellow stain was performed confirming absence of surface bacilli.
GROSS DESCRIPTION Received in formation are five fragments of light tan mucoid tissue aggregating 6mm. Totalled
That was it! My thoughts are how can the doctor interpret that IM means healing. I am totally baffled. He suggested no follow-up was necessary; to just take the PPI's. If IM technically means pre-canceous as my research says, then how can he not pay attention to this and have me in for at the very least, yearly scopes.
Are there medical professisonal on this board who can elaborate on this. I don't want to meet with him and lose it - he is reputed to be one of the best gastro doctors in the area.
Last week, I had the hospital fax me the pathology report. It reads as follows....
DIAGNOSIS: Gastric Biopsies
- Chronic Gastritis with Intestinal Metaplasia
- Fragments of Duodenal Mucosa
COMMENT: Alcian yellow stain was performed confirming absence of surface bacilli.
GROSS DESCRIPTION Received in formation are five fragments of light tan mucoid tissue aggregating 6mm. Totalled
That was it! My thoughts are how can the doctor interpret that IM means healing. I am totally baffled. He suggested no follow-up was necessary; to just take the PPI's. If IM technically means pre-canceous as my research says, then how can he not pay attention to this and have me in for at the very least, yearly scopes.
Are there medical professisonal on this board who can elaborate on this. I don't want to meet with him and lose it - he is reputed to be one of the best gastro doctors in the area.
J.C.
A few questions for you if you don't mind. If I am negative for h-pylori and I have a chronic case, what is your opinion on what is causing this. I've had this conditon off and on for 7 yrs with this time being the absolute worse. In April, I took a fall which brought me to the ER. At the time, they told me my arm was bruised and they would call if findings showed otherwise. They never called, somebody forgot to! So it fell between the cracks. So, I'm thinking it's a bruised arm. For the entire month of April and some of May, I took 3 Advil, three times a day for the pain. Ended up being a broken arm when I finally went to an ortherpedic guy.
The gastro doctor didn't think taking Advil caused my symtoms to return with such vengence or at the very least, it had little to do with it and he said even if it was the case, I would have felt better in a few weeks.
If this is a chronic condition, will I have to live like this forever experencing symptoms off an on?
And, do you think PPI's are the route to take. I take two Prevacid a day and have been for a few weeks now. I tried Nexium and Protonix but neither brought continued relief. Prevacid is better but I sill wake up with burning. I have eliminated all the trigger foods, caffine, wine, etc. I have been taking PPI's since July.
Thanks, your comments are appreciated.
J.C.
pebs
No medical background here (although I have learned about some maladies the hard way). I do suspect that we have a few healthcare professionals in the Group though. Judging from their advice, I think RTFLY and Wilson may both work in the healthcare field.
Regards,
Chicken Soup