burned out sigmoid colitis

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bewell
New Member


Date Joined Aug 2006
Total Posts : 10
   Posted 10/4/2007 2:12 PM (GMT -6)   
Hi everyone,
    i just had a colonscopy and the Drs. findings are "Distal sigmoid had tubular appearance ,appears bland,with decreased vascular pattern,possibly suggestive of a "burn out" distal colon colitis.
Does anyone know the meaning of this. Thanks confused

Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5182
   Posted 10/4/2007 4:19 PM (GMT -6)   
It sounds to me like the doctor is describing something he thinks has been going on in the sigmoid colon for some time. I have never encountered the words "bland" or "burnt out" in a c-scope report, though. You'll likely have to ask your gastro exactly what that means. Are you newly diagnosed with UC? Or was that a follow-up c-scope? / Old Hat (nearly 30 yrs with left-sided UC; currently on 6 Colazal daily for July flare in descending colon; should be back in remission again soon)

quincy
Elite Member


Date Joined May 2003
Total Posts : 30591
   Posted 10/4/2007 10:48 PM (GMT -6)   
Did a little homework for you..hope it helps.
 
Distal sigmoid...lowest part of the sigmoid
 
Distal colitis...lowest part of the colon which would include the rectum/sigmoid

Tubular appearance....smooth and round or tubular without lots of "structure"

Bland ... without symptoms or asymptomatic

Decreased vascular pattern ... normal vascular pattern isn't visible
 
http://www.endoatlas.com/ib_uc_01.html

Burned out (Burnt out)... distensible (can stretch and expand)  but without haustral markings...meaning without the pouchy appearance ( ) looks more like more like|| ...chronic/advanced/been around for a long while

quincy


*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

Post Edited (quincy) : 10/4/2007 10:52:48 PM (GMT-6)


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5182
   Posted 10/5/2007 7:58 AM (GMT -6)   
Cool, Quincy! Based on your homework, then, the doctor seems to be saying that the leftmost sigmoid has become rigid ("tubular"). At the time I was diagnosed in 1980 they used to refer to it as "stovepipe colon", something adequate meds are supposed to prevent. / Old Hat

quincy
Elite Member


Date Joined May 2003
Total Posts : 30591
   Posted 10/5/2007 9:17 AM (GMT -6)   
not rigid quite yet because it's still distensible?...meaning able to stretch. Would it not have said rigid?

Either way...it's chronic but not active at this point.

Interesting process,however...

quincy
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


bewell
New Member


Date Joined Aug 2006
Total Posts : 10
   Posted 10/5/2007 4:04 PM (GMT -6)   
Thanks for your input and effort to help me out with this,Quincey and Old Hat.

quincy
Elite Member


Date Joined May 2003
Total Posts : 30591
   Posted 10/6/2007 1:30 AM (GMT -6)   
When you get the actual interpretation from your doctor, fill us in.

q
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

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