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Doctor insights on: Karl Storz Endoscopy

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Chromogranin a 3000, no zollinger-ellison syndrome or men 1. ideas? egd, colonoscopy, sandostatin, (octreotide) ct. Contrast. mystery

Chromogranin a 3000, no zollinger-ellison syndrome or men 1. ideas? egd, colonoscopy, sandostatin, (octreotide) ct. Contrast. mystery

Neuroendocrine: Chromogrannin A is a marker of a wide range of neuroendocrine tumors, including pheochromocytoma, carcinoid, others. There are false positives related to diet and meds, although 3000 seems very high (although you don't state the normal range). Your symptoms (?flushing; ?hypertensive spells) would help guide the workup. You need to see a doc who is expert in this. ...Read more

Dr. Charles Cattano
2,494 doctors shared insights

Endoscopy (Definition)

Endoscopy broadly refers to the direct visualization of the intestinal tract by way of a flexible, fiberoptic scope. Generally, the term is used to describe evaluation of the esophagus, stomach and duodenum (upper endoscopy), or the ...Read more


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Autopsy shows stillbirth had eagle barrett syndrome.Will this recur?

Autopsy shows stillbirth had eagle barrett syndrome.Will this recur?

Probably not: I'm sorry for your loss. Usually eagle-barrett is sporadic -- "just happens", and the severity is widely variable. Should ultrasound reveal it in a future pregnancy, discuss all your options with your physician. ...Read more

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DR said inflammation on EGD was "over read" by pathologist as Barrett's- on 40mg nexium (esomeprazole) 2x day, chance of esophageal cancer? 31 yo, pics attached

DR said inflammation on EGD was "over read" by pathologist as Barrett's- on 40mg nexium (esomeprazole) 2x day, chance of esophageal cancer? 31 yo, pics attached

Strange: Why did the doctor order an EGD? Did he bother to take a history and do a physical exam first? Why did you go to the doctor? Do you have difficulty swallowing or dyspepsia? Why are you taking Nexium (esomeprazole)? I have NEVER heard of 31 y.o. with Barrett's or esophageal cancer. Doctor's don't get paid to think. They get paid to DO THINGS to patients, such as EGD's. You should ask the doctor some questions. ...Read more

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Pt w/episodes GI pains/urg diarrhea since kid. Scope neg, bx only hi enteral Eos. He's v anxious bout this. Athletic/hi-fxn. Eats Immod w/o -. Refer??

Pt w/episodes GI pains/urg diarrhea since kid. Scope neg, bx only hi enteral Eos. He's v anxious bout this. Athletic/hi-fxn. Eats Immod w/o -. Refer??

Elimination Diet: As a functional medicine doctor, I would recommend trying a comprehensive elimination diet for a month. There is really nothing to lose, and it helps many patients. ...Read more

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RUQ&MidbackPain fromMar15 Abd.CT-Aug15/USound-Sep15/MRI-Nov15each show liver hemangioma13mm,no gallstones Endo/ColonosSep15-nothing CckHIDA-Mar16-12%?

RUQ&MidbackPain fromMar15
Abd.CT-Aug15/USound-Sep15/MRI-Nov15each show liver hemangioma13mm,no gallstones
Endo/ColonosSep15-nothing
CckHIDA-Mar16-12%?

Endoscopic ultra--: --sound is the only procedure that may aid in a diagnosis. Relatively new, so not many trained to perform it. I'm having it done after a bout of pancreatitis, where no cause was found. ...Read more

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31 yo. Dr said Barrertts esophagus prob "over read" by pathologist. nexium (esomeprazole) 40mg 2x day. What are chances of Cancer? Can it be reversed? Picture attach

31 yo. Dr said Barrertts esophagus prob "over read" by pathologist. nexium (esomeprazole) 40mg 2x day. What are chances of Cancer? Can it be reversed? Picture attach

Barretts esophagus: The diagnosis of Barretts esophagus is usually confirmed using an AB/PAS stain. Have a second pathologist examine the slides if there is any doubt. Barretts is a metaplastic change of esophagus in response to acid reflux. It's not malignant but in time can undergo malignant transformation. ...Read more

Dr. Dr.
2 doctors agreed:
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Does Dr. YEO review plaintiff cases? Saw his chapter on billary duct injury.

Dr. Dr.
2 doctors agreed:
Does Dr. YEO review plaintiff cases? Saw his chapter on billary duct injury.

Contact him: This is not a legal forum, you or your lawyer contact him ...Read more

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I have dyspnea/pepsia & palpatation despite taking ppi. Cbc/abg, ekg/holter, cxr/ugi & pft = norm. Wife thinks celiac/li. Dr. Thinks somato/anxi. I'm scared about vagus damage & cancer/chf. Culptit?

I have dyspnea/pepsia & palpatation despite taking ppi. Cbc/abg, ekg/holter, cxr/ugi & pft = norm. Wife thinks celiac/li. Dr. Thinks somato/anxi. I'm scared about vagus damage & cancer/chf. Culptit?

See a GI: The definitive test for reflux is a 24 hour ph probe. A small tube is placed into your stomach through the nose and left for 24 hours. It measures the ph along the entire esophagus and stomach. You keep a diary of your symptoms. If you have reflux this will show it. ...Read more

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Any dr read this destroying the myth about testosterone replacement and prostate cancer by abraham morgentaler, md, facs introduction by william fa?

Any  dr read  this destroying the myth about testosterone replacement and prostate cancer
by abraham morgentaler, md, facs introduction by william fa?

Yes: Great book. Morgantaler is the doc when it comes to testosterone. When it comes to testosterone adn prostate cancer all is not what it seems. This is not standard but have a look here http://1.Usa.Gov/n7ggvn ...Read more

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Fat intoler/IBS, bloods normal. DR said look 2 alternative therapies. I read about parasite cleanse (Paragone) Is it a good idea & backed by science?

Fat intoler/IBS, bloods normal. DR said look 2 alternative therapies. I read about parasite cleanse (Paragone) Is it a good idea & backed by science?

Wrong approach!: Irritable bowel syndrome (ibs) is a condition associated with abdominal discomfort, altered stool pattern, with accompanying nausea, bloating, and/or gassiness. Often improved by stooling, ibs is defined by changes in perception of gut distension, motility, sensation. Diet ; emotional stress may contribute. Ibs is a diagnosis of exclusion--first rule out inflammation, ischemia, infection, etc. ...Read more

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Adult,MR Entrography show dilated Jejunum loop,several Intussusception same area before.Capsule endo is normal,GI doc think resection, good idea or no?

Adult,MR Entrography show dilated Jejunum loop,several Intussusception same area before.Capsule endo is normal,GI doc think resection, good idea or no?

This is not: a normal finding. Although malignant tumor of jejunum is rare, incidence is not zero. If you are having symptoms, you should follow your doctor's advice. ...Read more

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Had ERCP w/monometry 9/11/13-repair SOD type2 @Emory University.Having symptoms again.What's next step?My CBD very small.Scar Tissue?Tired of beingSic

Had ERCP w/monometry 9/11/13-repair SOD type2 @Emory University.Having symptoms again.What's next step?My CBD very small.Scar Tissue?Tired of beingSic

Let doc know: Some symptoms in sphincter of Oddi dysfunction persist and become chronic. The main problem is that some other conditions may as well occur and a thorough medical evaluation is needed. That's why letting your gastroenterologist know is critical. ...Read more

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Colon 20cm resection 10days ago(75 y old).Today, discovered all colon dead(arteriosclerosis).So, had total colectomy(1.5 meter).Was that medical error?

Colon 20cm resection 10days ago(75 y old).Today, discovered all colon dead(arteriosclerosis).So, had total colectomy(1.5 meter).Was that medical error?

Medical error: Arteriosclerosis can cause colonic ischemia and infarction. Whether the extent of the problem was not recognized at your surgery or if there was no appearance of threatened bowel thus not resected at the initial surgery can't be judged or speculated from out here. ...Read more

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Chrnic pancreatitis EUS showed signs/unknown y nodrinkr/nodrugs - GB gone2001&in hosp5dayswith CP-still be y? I am lessor known gene hemochromotosis

Chrnic pancreatitis EUS showed signs/unknown y nodrinkr/nodrugs - GB gone2001&in hosp5dayswith CP-still be y? I am lessor known gene hemochromotosis

Potentially: Hemochromatosis, even with lesser gene. This May activated and Is affecting ur organs. Diabetes is a concern so make sure docs watch that closely. ...Read more

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11year old son diagnosed with mesenteric adenitis.(4 time in 2 years)ultrasound shows 6.2cm appendix.Pain, vomitting, diarhhea, stool pelts.Appendectomy?

11year old son diagnosed with mesenteric adenitis.(4 time in 2 years)ultrasound shows 6.2cm appendix.Pain, vomitting, diarhhea, stool pelts.Appendectomy?

Unlikely appy: Appendicitis is something that usually comes, stays, and becomes a big problem. It does not usually come and go. It's also usually does not cause significant stool changes except maybe diarrhea at the time it is inflamed. It sounds like it would be very beneficial to see a G.I. Specialist as there is a few problems things it could be. Ibs, crohn's and ulcerative colitis are all possible. ...Read more

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38 yr male, good shape, avid runner.Traces of blood in urine.Dad diagnosed with kidney cancer at 40. Dr ordered ultrasound. Would this show cancer?

38 yr male, good shape, avid runner.Traces of blood in urine.Dad diagnosed with kidney cancer at 40. Dr ordered ultrasound. Would this show cancer?

Not necessarily: Traces of blood in urine can result from many reasons, running and exercise is amongst few of the benign reasons, however it can be an early sign of cancer as well. A thorough investigation is mandatory for anyone with strong family history. One should consult the PCP right away and ideally should be evaluated by a Urologist. A kidney ultrasound is one of the many tests needed. ...Read more