burned out sigmoid colitis

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

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
Back to Top

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)
Back to Top

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)

Back to Top

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
Back to Top

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 !!!

Back to Top

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.
Back to Top

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 !!!

Back to Top
New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, June 20, 2018 3:21 PM (GMT -6)
There are a total of 2,973,775 posts in 326,128 threads.
View Active Threads


Who's Online
This forum has 161113 registered members. Please welcome our newest member, bbruneau.
470 Guest(s), 10 Registered Member(s) are currently online.  Details
carattop, sandyfeet, Michael_T, LucyDog, Girlie, Coral, mpost, Cary1963, blksteeda, straydog