Aa
results of end
I went to have a procedure this morning (scope down throat. The doctor did not stick around and discuss the results with me. Just gave me a report. I was wondering if any of you have had these findings and if thery are related to cirr - No varices; areas of erosion were found in the antrum and body of the stomach - biopsy taken; Angioectasis AVM was found in the 3rd portion of the duodenum. Thanks so much for your help.
I have EGDs done regularly- so far I've only had one time when banding was required. I go back next week for another EGD & colonoscopy - it has been a year since my last one. Just another one of those things that comes with 4th stage cirrhosis.
Of course not have varices is a good thing.
However despite my having decompensated cirrhosis and portal hyper tension that became I never had varices. Despite almost dying and having an occluded portal vein, I was spared many of the side effects of ESLD.
The point being, there are always exceptions to any rule.
The biopsy will show for certain whether or not you have cirrhosis.
However despite my having decompensated cirrhosis and portal hyper tension that became I never had varices. Despite almost dying and having an occluded portal vein, I was spared many of the side effects of ESLD.
The point being, there are always exceptions to any rule.
The biopsy will show for certain whether or not you have cirrhosis.
COMMUNITY LEADER
Others have provided excellent information on your endoscopy and what it means.
"I was just curious if others with cirr had any of this."
Areas of erosion in the antrum and body of the stomach and Angioectasis AVM are NOT related to cirrhosis which is good news.
Your doctor is probably waiting to get the results of the biopsy, so they can give you a full diagnosis.
The only correction I would mention to the posts is that varices are caused by portal hypertension which is the results of the scaring of the liver. Since you don't have esophageal and stomach varices it should mean that you cirrhosis is at its early, compensated stage. A patient is said to be decompensated when they have there first variceal bleed/haemorrhage. Patients who have early compensated cirrhosis will usually develop varices but they are smaller and less likely to rupture. Bleeding varices, ascites and hepatic encephalopathy and all indications of decompensated/ End-Stage Liver Disease. The vast majority of decompensated patients can not do hepatitis C treatment. That is why it is important to treat hep C before decompensated occurs.
AASLD Practice Guideline
"Gastroesophageal varices are present in approximately 50% of patients with cirrhosis. Their presence correlates with the severity of liver disease while only 40% of Child A patients have varices, they are present in 85% of Child C patients.
...It has also been shown that 16% of patients with hepatitis C and bridging fibrosis have esophageal varices."
http://www.lcgdbzz.org/UpFiles/Article/201072014452597563.pdf
Hopefully you only have gastitis that can be easily treated.
Good luck!
Hector
"I was just curious if others with cirr had any of this."
Areas of erosion in the antrum and body of the stomach and Angioectasis AVM are NOT related to cirrhosis which is good news.
Your doctor is probably waiting to get the results of the biopsy, so they can give you a full diagnosis.
The only correction I would mention to the posts is that varices are caused by portal hypertension which is the results of the scaring of the liver. Since you don't have esophageal and stomach varices it should mean that you cirrhosis is at its early, compensated stage. A patient is said to be decompensated when they have there first variceal bleed/haemorrhage. Patients who have early compensated cirrhosis will usually develop varices but they are smaller and less likely to rupture. Bleeding varices, ascites and hepatic encephalopathy and all indications of decompensated/ End-Stage Liver Disease. The vast majority of decompensated patients can not do hepatitis C treatment. That is why it is important to treat hep C before decompensated occurs.
AASLD Practice Guideline
"Gastroesophageal varices are present in approximately 50% of patients with cirrhosis. Their presence correlates with the severity of liver disease while only 40% of Child A patients have varices, they are present in 85% of Child C patients.
...It has also been shown that 16% of patients with hepatitis C and bridging fibrosis have esophageal varices."
http://www.lcgdbzz.org/UpFiles/Article/201072014452597563.pdf
Hopefully you only have gastitis that can be easily treated.
Good luck!
Hector
thanks for all of the info, i do have cirr and was wondering if there is any connection with that. My doctor is suppose to call me to explain. I have not had much luck with him - i am post treatment 2 1/2 months and he has never properly explained anything to me! He did the scope looking for varices and came up with stomach issues. I was just curious if others with cirr had any of this. thanks again.
The fact that there were "no varices" found is a good thing for you. Having esophageal varices is often an indication that your liver has decompensated. My husband had these varices and his doctor banded them to help prevent rupture and bleeding. He also had to take a prescription medicine called Nadalol.
Definition provided by Mayo Clinic website:
Esophageal varices are abnormal, enlarged veins in the lower part of the esophagus — the tube that connects the throat and stomach. Esophageal varices occur most often in people with serious liver diseases.
Esophageal varices develop when normal blood flow to your liver is slowed. The blood then backs up into nearby smaller blood vessels, such as those in your esophagus, causing the vessels to swell. Sometimes, esophageal varices can rupture, causing life-threatening bleeding.
A number of drugs and medical procedures are available to stop bleeding from esophageal varices. These same treatments can help prevent bleeding in people diagnosed with esophageal varices.
As for the rest of the report, I will leave to to others to help you with that.
Definition provided by Mayo Clinic website:
Esophageal varices are abnormal, enlarged veins in the lower part of the esophagus — the tube that connects the throat and stomach. Esophageal varices occur most often in people with serious liver diseases.
Esophageal varices develop when normal blood flow to your liver is slowed. The blood then backs up into nearby smaller blood vessels, such as those in your esophagus, causing the vessels to swell. Sometimes, esophageal varices can rupture, causing life-threatening bleeding.
A number of drugs and medical procedures are available to stop bleeding from esophageal varices. These same treatments can help prevent bleeding in people diagnosed with esophageal varices.
As for the rest of the report, I will leave to to others to help you with that.
COMMUNITY LEADER
No varices is an indication that no portal hypertension is present. This meaning normal blood flow through the liver.
AVM or arteriovenous malformations- Most frequently, the cause of small intestine bleeding is caused by angioectasias, or arteriovenous malformations (AVMs). Fully 30 percent to 40 percent of instances of small intestine bleeding occur when these abnormal blood vessels, which are located inside the lining of the small intestine, rupture. AVMs become more likely and are very common as people grow older, and they are the single most common cause of small intestine bleeding in people older than 50. AVMs also frequently accompany conditions such as heart disease and kidney disease.
Reasons for your Scope or Endoscopy:
An upper gastrointestinal (UGI) endoscopy is a procedure that allows your doctor to look at the interior lining of your esophagus, your stomach, and the first part of your small intestine (duodenum) through a thin, flexible viewing instrument called an endoscope. The tip of the endoscope is inserted through your mouth and then gently moved down your throat into the esophagus, stomach, and duodenum (upper gastrointestinal tract).
Since the entire upper gastrointestinal (GI) tract can be examined during this test, the procedure is sometimes called esophagogastroduodenoscopy (EGD).
Using the endoscope, your doctor can look for ulcers, inflammation, tumors, infection, or bleeding. Tissue samples can be collected (biopsy), polyps can be removed, and bleeding can be treated through the endoscope. Endoscopy can reveal problems that do not show up on X-ray tests, and it can sometimes eliminate the need for exploratory surgery.
Why It Is Done
An upper gastrointestinal endoscopy may be done to:
Find problems in the upper gastrointestinal (GI) tract. These problems can include: Inflammation of the esophagus (esophagitis) or the stomach (gastritis).
Gastroesophageal reflux disease (GERD).
A narrowing (stricture) of the esophagus.
Enlarged and swollen veins in the esophagus or stomach (varices).
Barrett's esophagus, a condition that increases the risk for developing esophageal cancer.
Hiatal hernia.
Ulcers.
Cancer.
Find the cause of vomiting blood (hematemesis).
Find the cause of symptoms, such as upper abdominal pain or bloating, difficulty in swallowing (dysphagia), vomiting, or unexplained weight loss.
Find the cause of an infection.
Check the healing of stomach ulcers.
Look at the inside of the stomach and upper small intestine (duodenum) after surgery.
Look for a blockage in the opening between the stomach and duodenum (gastric outlet obstruction).
Endoscopy may also be done to:
Check for an esophageal injury in an emergency (for example, if the person has swallowed poison).
Collect tissue samples (biopsy) for examination in the laboratory.
Remove growths from inside the esophagus, stomach, or small intestine (gastrointestinal polyps).
Treat upper gastrointestinal bleeding, including bleeding caused by engorged veins in the esophagus (esophageal varices).
Remove foreign objects that have been swallowed.
Look for bleeding that may be causing a decrease in the amount of oxygen-carrying substance (hemoglobin) found in red blood cells (anemia).
Read more at: http://www.webmd.com/digestive-disorders/upper-gastrointestinal-endoscopy
This however does not indicate that cirrhosis is present. Testing for cirrhosis will consist of lab work, followed by a CT Scan, Ultra Sound or Liver Biopsy.
In my personal experiences the results of the endoscopy are discussed with my spouse or during my return visit due to sedation. I hope this helps you out.
Randy
AVM or arteriovenous malformations- Most frequently, the cause of small intestine bleeding is caused by angioectasias, or arteriovenous malformations (AVMs). Fully 30 percent to 40 percent of instances of small intestine bleeding occur when these abnormal blood vessels, which are located inside the lining of the small intestine, rupture. AVMs become more likely and are very common as people grow older, and they are the single most common cause of small intestine bleeding in people older than 50. AVMs also frequently accompany conditions such as heart disease and kidney disease.
Reasons for your Scope or Endoscopy:
An upper gastrointestinal (UGI) endoscopy is a procedure that allows your doctor to look at the interior lining of your esophagus, your stomach, and the first part of your small intestine (duodenum) through a thin, flexible viewing instrument called an endoscope. The tip of the endoscope is inserted through your mouth and then gently moved down your throat into the esophagus, stomach, and duodenum (upper gastrointestinal tract).
Since the entire upper gastrointestinal (GI) tract can be examined during this test, the procedure is sometimes called esophagogastroduodenoscopy (EGD).
Using the endoscope, your doctor can look for ulcers, inflammation, tumors, infection, or bleeding. Tissue samples can be collected (biopsy), polyps can be removed, and bleeding can be treated through the endoscope. Endoscopy can reveal problems that do not show up on X-ray tests, and it can sometimes eliminate the need for exploratory surgery.
Why It Is Done
An upper gastrointestinal endoscopy may be done to:
Find problems in the upper gastrointestinal (GI) tract. These problems can include: Inflammation of the esophagus (esophagitis) or the stomach (gastritis).
Gastroesophageal reflux disease (GERD).
A narrowing (stricture) of the esophagus.
Enlarged and swollen veins in the esophagus or stomach (varices).
Barrett's esophagus, a condition that increases the risk for developing esophageal cancer.
Hiatal hernia.
Ulcers.
Cancer.
Find the cause of vomiting blood (hematemesis).
Find the cause of symptoms, such as upper abdominal pain or bloating, difficulty in swallowing (dysphagia), vomiting, or unexplained weight loss.
Find the cause of an infection.
Check the healing of stomach ulcers.
Look at the inside of the stomach and upper small intestine (duodenum) after surgery.
Look for a blockage in the opening between the stomach and duodenum (gastric outlet obstruction).
Endoscopy may also be done to:
Check for an esophageal injury in an emergency (for example, if the person has swallowed poison).
Collect tissue samples (biopsy) for examination in the laboratory.
Remove growths from inside the esophagus, stomach, or small intestine (gastrointestinal polyps).
Treat upper gastrointestinal bleeding, including bleeding caused by engorged veins in the esophagus (esophageal varices).
Remove foreign objects that have been swallowed.
Look for bleeding that may be causing a decrease in the amount of oxygen-carrying substance (hemoglobin) found in red blood cells (anemia).
Read more at: http://www.webmd.com/digestive-disorders/upper-gastrointestinal-endoscopy
This however does not indicate that cirrhosis is present. Testing for cirrhosis will consist of lab work, followed by a CT Scan, Ultra Sound or Liver Biopsy.
In my personal experiences the results of the endoscopy are discussed with my spouse or during my return visit due to sedation. I hope this helps you out.
Randy
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