Question 1

what does a terminal ileum biopsy show?

Accepted Answer

Sm. Bowell Disease: Used to diagnose small bowel disease such as chron's or celiac disease.

Question 2

terminal ileum biopsy- ileum type mucosa with prominent lymphoid aggregate. what does this mean.

Accepted Answer

Normal biopsy: The ileum normally has numerous lymphoid aggregates. To a pathologist, this actually helps us figure out which part of the small intestine the biopsy is from. Unless something else was stated in your report, this should be taken as "normal."

Question 3

terminal ileum biopsy: unremarkable ileal mucosa. negative for active/ chronic ileitis, no granulomas seen. meaning? good? 
bad? thanks

Accepted Answer

Sampling: It is good that there was no pathology in the tissue biopsied. Please keep in mind that the pathologist can only tell you what was in the tissue that was removed, not what is the rest of the body. Lesions in Crohns can be patchy and you need to follow your doctor's advice about follow-up care.

Question 4

my bf had colonoscopy done & diagnosed with apthoid ulcer measuring 1 mm in terminal ileum.biopsies were obtained,reports says cannot identify problem?

Accepted Answer

Small bowel ulcer: Could be anything from as simple as an isolated ulcer from aspirin or anti-inflammatory medication induced to the early signs of Crohn's disease

Question 5

hey

recently my bf had his colonoscopy done and it was identified that three apthoid ulcer were found measuring 1 mm in the terminal ileum. biopsies were obtained but the biopsies reports says that they cannot identify the problem. do i need to worry ?

Accepted Answer

Misinformed: You need to discuss with your physician  the exact contents of the biopsy report. It is unlikely that the pathologist would simply say can't identify the problem;  more likely it offers several possibilities or differential diagnosis for your physician to work on

Question 6

colonoscopy -small ulcers in the terminal ileum. biopsy confirms focal ileitis with superficial erosion, but no specific cause identified. what next?

Accepted Answer

Several options!: Trial of sulfasalazine 500 x 4. Or combo or solo ciprofloxin and/or Metronidazole 500mg bid!

Question 7

colonoscopy saw ulcers in terminal ileum, biopsy confirmed focal ileitis with superficial erosion but no specific cause. will pill cam identify cause?

Accepted Answer

You might benefit: From cutting out milk and all milk products from your diet, particularly if you started with ibs.

Question 8

small ulcer in terminal ileum, biopsy shows. in eosinophil focal mild active chronic ileitis. lymphoid hyperplasia, crohn ruled out. gi told allergy.

Accepted Answer

Yes: chronic ileitis is benign and could be treated with diet and some medicine like Lactinx.

Question 9

will capsule endoscopy identify cause of ulcers in terminal ileum seen in colonoscopy. biopsy confirmed focal ileitis with superficial erosion?

Accepted Answer

Capsule endoscopy is: For small bowel evaluation where upper or lower endoscopy can't reach. It may give you information regarding the rest of small bowel. Its usually done to look for small bowel lesions or to find the source of a bleed where egd/colonoscopy is negative. In your case the better test is mr enetrography or a ct abd/pel with volumen contrast. Your GI doc should decide on further testing.

Question 10

i had a colonoscopy last week, which came back clear, however on my report it shows that 40 biopsies were taken from the rectum to the terminal ileum?

Accepted Answer

Depends: Why was the colonoscopy done? If it was as monitoring for inflammatory bowel disease, then the biopsies were appropriate. Give it a week or so and check with your doctor about the results of the biopsies.
Wish you good health and a Happy New Year!

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Doctor answers about:

Terminal ileum biopsy

A member asked:

What does a terminal ileum biopsy show?

A member asked:

Terminal ileum biopsy- ileum type mucosa with prominent lymphoid aggregate. what does this mean.

A member asked:

Terminal ileum biopsy: unremarkable ileal mucosa. negative for active/ chronic ileitis, no granulomas seen. meaning? good? bad? thanks

A member asked:

My bf had colonoscopy done & diagnosed with apthoid ulcer measuring 1 mm in terminal ileum.biopsies were obtained,reports says cannot identify problem?

A member asked:

Hey recently my bf had his colonoscopy done and it was identified that three apthoid ulcer were found measuring 1 mm in the terminal ileum. biopsies were obtained but the biopsies reports says that they cannot identify the problem. do i need to worry ?

A member asked:

Colonoscopy -small ulcers in the terminal ileum. biopsy confirms focal ileitis with superficial erosion, but no specific cause identified. what next?

A member asked:

Colonoscopy saw ulcers in terminal ileum, biopsy confirmed focal ileitis with superficial erosion but no specific cause. will pill cam identify cause?

A member asked:

Small ulcer in terminal ileum, biopsy shows. in eosinophil focal mild active chronic ileitis. lymphoid hyperplasia, crohn ruled out. gi told allergy.

A member asked:

Will capsule endoscopy identify cause of ulcers in terminal ileum seen in colonoscopy. biopsy confirmed focal ileitis with superficial erosion?

A member asked:

I had a colonoscopy last week, which came back clear, however on my report it shows that 40 biopsies were taken from the rectum to the terminal ileum?

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