Had my fourth colonoscopy today. It was done by a GI from England who is here for a year studying under my GI who was present as well. In Aug 2007 after a month on prednisone, they had to use a pediatric scope to get through the stricture in my colon. In Feb 2008, he used a gastroscope which is smaller yet and normally used in the throat. Today she was able to use the normal scope and got all the way to the ileum. There is no inflammation anywhere except in the two inches of stricture in the sigmoid colon. My GI is going to talk to a colleague of his who specializes in internal ultrasound. Apparently a colonoscopy only shows the inside surface whereas the ultrasound can get through the layers and he said something about being able to take more needle biopsies within the stricture. My husband has been in the business of ultrasonic inspection of metal for over thirty years so understands how ultrasound works. I looked it up on the internet and there is very little about endoscopic ultrasound.
So apparently the metho is working somewhat and he is decreasing the dosage to 15mg. a week for the next three months. He said before the procedure that it was normal to decrease the doze after four months?
Asked if I would have to do the Colyte prep again and he said he maybe we could try something else. So all is good for now.
55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.