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burned out sigmoid colitis

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Ulcerative Colitis
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bewell
New Member
Joined : Aug 2006
Posts : 10
Posted 10/4/2007 1:12 PM (GMT -7)

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

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Old Hat
Veteran Member
Joined : Feb 2007
Posts : 5455
Posted 10/4/2007 3:19 PM (GMT -7)
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)
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quincy
Elite Member
Joined : May 2003
Posts : 32559
Posted 10/4/2007 9:48 PM (GMT -7)
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

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Old Hat
Veteran Member
Joined : Feb 2007
Posts : 5455
Posted 10/5/2007 6:58 AM (GMT -7)
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

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quincy
Elite Member
Joined : May 2003
Posts : 32559
Posted 10/5/2007 8:17 AM (GMT -7)
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
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bewell
New Member
Joined : Aug 2006
Posts : 10
Posted 10/5/2007 3:04 PM (GMT -7)
Thanks for your input and effort to help me out with this,Quincey and Old Hat.
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quincy
Elite Member
Joined : May 2003
Posts : 32559
Posted 10/6/2007 12:30 AM (GMT -7)
When you get the actual interpretation from your doctor, fill us in.

q
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