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Doctor insights on: Villous Atrophy Duodenum

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Interpret CT: mild thickening of distal sigmoid & rectal wall w/o adjacent fatty stranding. Loops of mild distended sm bowel w/o clear transition zone?

Interpret CT: mild thickening of distal sigmoid & rectal wall w/o adjacent fatty stranding. Loops of mild distended sm bowel w/o clear transition zone?

Diverticulosis: and possibly prior episode of diverticulitis could present this way. So too does infected segment or inflammation. The mild dilated small bowel in the current context is not as much of concern as the condition of the colon. Best discuss these findings with your doctor to put them into a good clinical picture. Good luck ...Read more

Atrophy (Definition)

Atrophy usually refers to the skin-as you get older or if you have had alot of sun in the past-the dermis (that is the layer below the top layer which is called the epidermis) gets thinner and the skin looks more wrinked. Muscles and fat can also get thinner -this is another form of atrophy. Even the top layer gets thinner ...Read more


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A histopathology report shows cryptitis ,crypt abscess in rectal biopsy along with duodenal biospy showing lymphocyte infiltrtion with villous atrophy?

A histopathology report shows cryptitis ,crypt abscess in rectal biopsy along with duodenal biospy showing lymphocyte infiltrtion with villous atrophy?

Virtual Consult: Hi DrL, Pathology reports for different types of inflammatory bowel diseases can be confusing and intimidating to read and understand. I would be happy to discuss the report and review your slides in a Virtual Consult. ...Read more

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My colonoscopy microscopic diagnosis: transverse colon polyp biopsy: polypoid colonic mucosa with mild nonspecific chronic inflamation...what is this?

My colonoscopy  microscopic diagnosis: transverse colon polyp biopsy: polypoid colonic mucosa with mild nonspecific chronic inflamation...what is this?

Nothing: non specific colon inflammation it could be anything but not cancer. there is no risk of cancer. your doctor can review your symptoms,and the result of the biopsy and reach the proper conclusion. nothing serious. ...Read more

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What does colonic mucosa with focal glandular atypia suggestive of diminutive, early adenomatous polyp mean?

What does colonic mucosa with focal glandular atypia suggestive of diminutive, early adenomatous polyp mean?

Not cancer: The description you gave is not a cause for any concern. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

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Second portion duodenum biopsy showing presevrd villous architecture with mod. #'s of lymphocytes. They are suggesting subclinical sprue. What mean?

Second portion duodenum biopsy showing presevrd villous architecture with mod. #'s of lymphocytes. They are suggesting subclinical sprue. What mean?

Lymphs where?: A good pathologist would have specified (& probably did) exactly where the lymphocytes were (in the epithelium is more worrisome than in the mucosa), and whether they were the type of t-cell that suggests celiac sprue. You'll get labs for celiac disease and perhaps a trial of a gluten-free diet depending on why you had the biopsy in the first place. ...Read more

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Is this UC? Colonoscopy report: PR normal. Granular mucosa in the rectum & sigmoid (reduced vascular pattern). Subtle rectal & sigmoid inflammation.

Is this UC? Colonoscopy report: PR normal. Granular mucosa in the rectum & sigmoid (reduced vascular pattern). Subtle rectal & sigmoid inflammation.

Biopsy will show: Diagnosis of Ulcerative colitis is complex and has to be verified by the biopsy findings (your dr most likely had taken multiple biopsies from different parts of the colon and sent them to the pathologist for examination) ...Read more

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What causes villous flattening in the duodenum?

What causes villous flattening in the duodenum?

Celiac disease : This is the most serious condition (gluten-allergy) but there other conditions that can cause a similar appearance - alcohol, medications, other food allergies, etc. ...Read more

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Colon - cecum, ascending, hepatic flexure, transverse, splenic flexure, descending, sigmoid, rule out mcn, " are multiple tan, irregular to linear soft?

Colon - cecum, ascending, hepatic flexure, transverse, splenic flexure, descending, sigmoid, rule out mcn, " are multiple tan, irregular to linear soft?

What is the question: Please resubmit your question; as it is written it is currently not possible for me to answer. I look forward to your resubmission and being able to answer your question. ...Read more

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Gastric mucosa showing inflammation, ulceration & high-grade glandular dysplasia?

Gastric mucosa showing inflammation, ulceration & high-grade glandular dysplasia?

Chronic gastritis: The objective findings you describe suggest chronic gastritis. There are many possible causes of this, including hyperacidity, infection with h. Pylori, loss of stomach acid production, or even underlying cancer.. It would be a good idea to try to find out what is causing this and doing something to correct it if possible, . ...Read more

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What meaning? Nonoxyntic gastric mucosa with focal intestinal metaplasia without epithelial dysphasia & features suggestive of reactive of gastropathy

What meaning?
Nonoxyntic gastric mucosa with focal intestinal metaplasia without epithelial dysphasia & features suggestive of reactive of gastropathy

No cancer: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, there is no cancer in the biopsy and there are no other lesions to be concerned about either. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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Colon, infiltratng mod. Diff. Adenocarcna, ulceration, no lymphovasc. Invasn. Intestinal type enteric, distal sigmoid mass. Ok to delay surgery to feb?

Colon, infiltratng mod. Diff. Adenocarcna, ulceration, no lymphovasc. Invasn. Intestinal type enteric, distal sigmoid mass. Ok to delay surgery to feb?

Colon cancer: I would advocate having the procedure done as soon as technically possible waiting weeks is generally ok but not months , unless the delay is to undergo neoadjuvant therapy. ...Read more

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Vomiting found Hpylori infected endoscopy shows mild chronic inflammatory cell infiltrate superficial fragments of duodenal mucosa showing lymphoplasmacytic infiltrate in lamina propia. no malignancy.

Vomiting found Hpylori infected endoscopy shows mild chronic inflammatory cell infiltrate superficial fragments of duodenal mucosa showing lymphoplasmacytic infiltrate in lamina propia. no malignancy.

Can develop Ca: The presence of h pylori with inflammation is a precursor of the potential to develop a somach malignancy or duodenal lymphoma. The bug has a toxin that causes ulceration at specific sites in the stomach. When ulcer is healing it is not with normal cells surrounding the ulcer but from influx of marrow stem cells. The h pylori toxin then attacks the stem cells to transform them to Ca. ...Read more

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

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

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. ...Read more

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CT Scan found mesenteric spiculated fibrous mass wrapped around gastric antrum & transverse colon. Type of diagnostic test? Type of Surgeon? Thanks

CT Scan found mesenteric spiculated fibrous mass wrapped around gastric antrum & transverse colon. Type of diagnostic test? Type of Surgeon? Thanks

An MRI is next 2 try: 2 diagnose the growth. Next most likely would be a biopsy. If a needle biopsy is opted for it is done by a radiologist who has special training in interventional radiology. Another way is to have it done laparoscopically, the mass does not sound like it is excisable. Surgeon if needed is a general surgeon. ...Read more

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Syndrome of optic atrophy?

Syndrome of optic atrophy?

Optic nerve damage: Optic atrophy refers to changes in the appearance of the optic nerve. The optic disc (where the optic nerve enters the eye) appears pale or whitish vs. The normal pink color. The presence of optic atrophy means there is damage to the optic nerve. This can occur with many different diseases (except glaucoma). The degree of visual loss depends on the severity of the optic nerve damage. ...Read more

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Is diffuse moderate pancreatic fatty atrophy serious?

Is diffuse moderate pancreatic fatty atrophy  serious?

It depends & more: info about u would help. Why ?'d? If test was US not very accurate for this. Gen this is in overweight/obese people, usually w ? triglycerides. The wt is the prob & w wt loss the panc fat will improve. There are more rare causes? Reason usually never be found, can be a gallstone, chronic pancreatitis, rarely mass. Main concerns are pain if chronic pancreatitis/stones & malabsorption. Needs eval. ...Read more

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Liver biopsy: Section reveals liver parenchyma, shows 12 portal tracts. Scattered portal tracts areas are infiltrated by lymphocytic inflammatory?

Liver biopsy: Section reveals liver parenchyma, shows 12 portal tracts. Scattered portal tracts areas are infiltrated by lymphocytic inflammatory?

?what does Ur Doctor: The doctor who advised you to have a liver biopsy is expected to tell you about this report. What did he/she say about the lymphocytes in the portal tracts? To my mind, it implies some degree of hepatitis going on. But I do not have the results of your Liver function tests(LFT's). That would help us in the interpretation ...Read more

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Biopsy from terminal ileum during colonoscopy showed "focal ileitis with superficial erosion. No granulomas, no specific cause identified" ?

Biopsy from terminal ileum during colonoscopy showed "focal ileitis with superficial erosion. No granulomas, no specific cause identified" ?

Forerunner: Of worse to come unless the dietary cause is eliminated. I have always stopped my patients from taking milk and milk products when they have ulcerative colitis. Try it! its cheap. Also check out your diet in general. Apart from milk, restrict it to "god made" foods. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more