Hello Everyone, I was able to get my report faxed over to me regarding the endoscopy and colonoscopy so I can bring it to my primary care doctor. Besides what The rude GI doctor wrote, I was reading the results from the bipopsy's taken.
Here is part of what the doctor wrote:
UPPER ENDOSCOPY PROCEDURE NOTE:
Procedure: Endoscopic was introduced under direct visialization per os and advanced through the oral pharynx, through the esophageal inlet, esophagus and GE junction. The gasric body was entered, the scope retroflexed, and all areas well visualized. The scope advanced into the duodenal bilb and second portion of the duodenum. The scope was retracted into the gatric body and multiple random gastric biopsies were obtained and sent to pathology for tissue indentification and to rule out H. pylori organisms. The insufflation was suctioned out and the scope was retracted the length of it's insertion and removed per os.
Findings: The esophagus was normal. The GE junction was about 40cm from the incisors. The gatric body and antrum revealed patcy erythema, biopsied. The duodenal bulb was clear. The second portion of the duodenum was normal, biopsy taken from spure
Impressions: mild gastritis, no obvious source of iron deficiency found.
Indications: h/o crohn's disease, fe deficiency anemai and weight loss
Exam: Extent of exam reached: Colonscope is passed to the cecum with ease, the cecum identified by ilcal cecal valve and appendiceal orifice, Terminal Ileaum, ileum intubated, mucosa edematous, crythematous, nodularwith large area of ulceration, biopsied, hard. Mucosa in rectum revealed patchy erythema, biopsied. Mucosa in cecum, transverse colon, decending colon, sigmoid colon appeared normal. Peri rectal anal fissure noted, draining light green drainage, large external hemorrhoids. Retroflexion done in rectum.
Findings: Severe ileitis, peri anal disease, anal fistula.
PLAN: check path, surgical evaluation, flayl tid for 2 weeks for anal fistula. follow up in office in 3 weeks
Colonscope was slowly withdrawn with periodic reinsertion and withdrawl of the colonscope to make every effort to inspect all folds and fexures
RESULTS OF BIOPSY:
1. Iluem, biopsy:
-Ileal mucosa showing acute inflamation, cryptitis, increased lamina propria inflamation, erosion, with flattened and the broad villie. No granulomas or dysplasia is seen.
2. Rectum biopsy:
-Colonic mucosa showing moderate increased chronic inflammatory cells in the lamina propria. No active inflamation, granuloma, or dysplasia seen.
1. The specimen is lableled ileum and with the patients name. The specimen is received in formalin, and consists of multiple, soft, tan-pink fragments of tissue ranging from 0.2 to 0.4 cm in maximum dimension. Entirely submitted. One cassette
2. The specimen is labled rectum and with the patients name. The specimen is recieved in formalin, and consists of two, soft, tan-pink fragments of tissue ranging from0.2 to 0.4 cm in maximum dimension. Entirely submitted. One cassette
Ok, well that is the end of the report. I hope I typed everything correctly. My question is, does anyone have a clue what this is saying? It sounds real bad and I am so nervous, I will be seeing a sergeon this Monday coming up and I want to have an idea on what to expect. Does this sound like severe crohn's? I am really very scared and what makes it worse is my doctors are all idiots. I can't get anyone to explain anything to me at all. I understand they have other patients and can't explain every part of this report but my doctor said nothing except it's severe and take flagyl and see her in 3 weeks. After my husband calling to find out why she didn't come out and let him know anything she finally called back and just blurted out "You have severe crohn's and find a sergeon". I hope someone understands this and can explain it to me. My husband and I wanted to know exactly what do they mean when they say acute. Does that mean "Severe"? I want to thank everyone in advance who takes the time out to read this long post and if especially if it can really be explained to me because there are so many words I have never heard of like: cryptitis and so many other words.
I pray it's not as bad as it sounds but I have to know the truth, if I like it or not