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Doctor insights on: Small Intestine Biopsy Procedure

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Is it true that a patient has to eat gluten for 2 weeks prior to a biopsy of the small intestine?

Celiac: If a biopsy of the small bowel is taken without any gluten in the diet and someone has celiac disease, then possibly the biopsy would be normal. If gluten is being eaten and the person does have celiac disease, then the biopsy would show inflammation and typical findings of gluten sensitivity. ...Read more

Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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I had a biopsy of my small intestine come back with elevated lymphocytes and all the blood came back negative for celiac disease. What r other reasons?

I had a biopsy of my small intestine come back with elevated lymphocytes and all the blood came back negative for celiac disease. What r other reasons?

Need more info: The hall mark of celiac disease is destruction of the lining of the intestine (mucosal atrophy). To give you a better idea about what is going on i would need a complete report of the biopsy and description of your symptoms. ...Read more

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My 18 month old son had an egd and the doctor said his small intestine was pale and boggy so he took biopsies, what could this mean?

My 18 month old son had an egd and the doctor said his small intestine was pale and boggy so he took biopsies, what could this mean?

Depnds: A variety of causes of inflammation can make findings such as this - it is important to not jump to conclusions - the results of the biopsies should be available shortly. Try not to worry until you have more information. ...Read more

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63 year-old woman still has continuous mild stomach pain affecting her daily life, despite 3 yrs of medical treatment for gastritis found after.....?

63 year-old woman still has continuous mild stomach pain affecting her daily life, despite 3 yrs of medical treatment for gastritis found after.....?

Cause of pain?: From the description, I'm not convinced the pain is from the gastritis. Further workup is needed. If not already done, I'd start with a current H&P, followed by new more thorough labs and/or a CT of the abdomen. ...Read more

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My bf got mild inflammation in small intestine in biopsy report. do we need to worry ?

My bf got mild inflammation in small intestine in biopsy report. do we need to worry ?

Difficult to say: It's difficult to tell you without any context. Mild inflammation may be from taking too much ibuprofen. But if the inflammation is chronic, with signs of chronic injury, it can be more worrying. Without having ore information it's hard to say. I'm happy to provide consultation if desired. ...Read more

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I have an adenomatous polyp on the valve between the large and small intestines in a fold. Biopsy showed not cancer. What is the best way to remove it?

I have an adenomatous polyp on the valve between the large and small intestines in a fold. Biopsy showed not cancer. What is the best way to remove it?

Excesion: Excision and complete removal of the adenomatous tissue is considered the treatment of choice. There are several techniques for polyp removal; biopsy forceps, snare excision, fulguration and piecemeal excision of large polyps. The procedure depends of the location, surgery, laparotomy, Laparoscopy, sigmoidoscopy. The use of NSAD has been shown to significantly reduce the size and number . ...Read more

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dr did biopsy on my stomach & small intestine& said similar swelling like crohns but said dont have it. is there any disease that can look like it?

 dr did  biopsy on my stomach & small intestine& said  similar swelling like crohns but said dont have it. is there any disease that can look like it?

Swelling: Isn't a characteristic finding of Crohn's as much as discrete small ulcers are. Inflammation of the stomach and intestine could be gastritis related to medication, infection, ulcer disease, celiac disease, pernicious anemia, etc. The answer is going to be in the report written by the pathologist on the biopsies that were taken during your endoscopy. ...Read more

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If a colonscopy can reach the small intestine, why would the dr also want to do an endoscopy through the stomach to the sm bowel as well to biopsy all?

If a colonscopy can reach the small intestine, why would the dr also want to do an endoscopy through the stomach to the sm bowel as well to biopsy all?

Different Areas: The colonoscopy may reach the end of the small bowel whereas the upper endoscopy reaches the start of the small bowel. Even though they both reach the small bowel those areas function differently. Also the upper endo allows for biopsy of the stomach and esophagus if needed. Need for these scopes depends on the condition being evaluated. ...Read more

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What to do if I have a blockage in my small intestine?

See your doctor: See a doctor as soon as possible, it is a potentially serious situation. ...Read more

Dr. Sheila Smith
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


Dr. Milroy Samuel
1 doctor shared a insight

Small Intestine (Definition)

The small intestine is the intestinal tract that lies between the stomach and the colon. It is involved in digesting and absorbing most of the nutrients we need ...Read more