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Message Icon Event: Finally the Upper GI - Event Date: 24 Mar 2017 Post Reply Post New Topic
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tony111
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Quote tony111 Replybullet Calendar Event: Finally the Upper GI
    Posted: Yesterday at 8:42pm

The report written today and test today says :

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Site A

Grade A Oesophagitis with mucosal breaks - 5mm

Hiatus hernia – sliding.

Site B

Gastritis – mild erythematous / exudative – no bleeding

Specimens: Urease test for H Pylori ( CLO test)

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I appreicate this is not directly related to Barretts but my symptoms have been hell at times, ref to previous post.

The written report mentions no biopsies taken of the gullet, only Grade A Oesophagitis is mentioned, I don’t recall him taking any biopsies here as I think I would have felt it. The only one I felt was in the stomach for the H Pylori which I will know about in 5 days.

if he saw something of real concern in the gullet, would he have told me or surely something would have been noted on the report, pending further analysis but no mention of any biopsies here. But apart from the H Pylori test, Im expecting nothing unless they are hiding bad news.

Maybe I should be more trusting of the profession. All he said was the Gullett looked reassuring !!!!> Still the scope was hassle free.

Take care, have a good day.

Thanks for reading




Edited by tony111 - Yesterday at 8:44pm
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steveb8189
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Quote steveb8189 Replybullet Posted: Today at 8:52am
Hi Tony

Sounds a good result. I don't really know anything about gastritis so can't comment but what I can say is you wouldn't "feel" the biopsies being taken - so it could be worth checking if they did.

Anything concerning would be written in the notes - did you get some interesting photos too?
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tony111
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Quote tony111 Replybullet Posted: Today at 12:03pm
Hi Steve

Thanks for reply

I have no photos given to me.

I felt a punch in the stomach when he took a sample for the H Pylori test

I looked at the written report and it only mentions this CLOT test for HPylori and I must go back to the GP in 5 days to see if there is an infection. There is no mention of any other biopsies taken on the report, or areas of concern, though I thought it would have been done for esophogitis but Im no doctor.

The gastrologist who did the scope mentioned no follow up to me. I asked him about the esphogitis and he just said ' it looks reassuring ' and that was that.

Tony


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chrisrob
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Quote chrisrob Replybullet Posted: Today at 1:18pm
Oesophagitis and Barrett's look different - even to me, anon-specialist endoscopist. There's no point biopsying an area of oesophagitis, all you see are fuzzy, inflamed red cells.
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jcombs99
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Quote jcombs99 Replybullet Posted: Today at 1:30pm
     There is a point to taking Biopsies in a BLOODY Red mess I wish they had done that to my Mess . They are Down There @ great cost so why not take a Few there u may find HGD or Cancer and save the patients life .
Meanwhile put them on a 60mg dose and REdo in 60 days Fund Saver .

CHEERs
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chrisrob
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Quote chrisrob Replybullet Posted: Today at 1:38pm
Sorry Jeff. Have you actually seen a biopsy slide from an inflamed area? I have. It's not possible to diagnose Barrett's let alone dysplasia or even OAC from those samples.
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jcombs99
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Quote jcombs99 Replybullet Posted: Today at 1:48pm
Well my path department could see it ?? Don't be Sorry my Doctor found LGD and HGD in the 2 biopsies he took right before he did Halo in 2008 in the Red Mess . By Halo rules ur not to TAKE Biopsies right before Halo but may have saved my life . It then changed the whole course of treatment.
I think I could mail them to U like he stated " How could any Doctor miss THAT '' as in it's NOT NDBO !!!

Edited by jcombs99 - Today at 2:01pm
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chrisrob
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Quote chrisrob Replybullet Posted: Today at 3:05pm
Earlier this week, I was one of the speakers at an endoscopy nurses' conference in Plymouth about Barrett's.
One of the speakers was a histopathologist. Using some of the images from the consultant gastroenterologist who also gave an excellent talk about identifying Barrett's, he showed images of typical Barrett's compared with typical oesophagitis. (They're relatively easy to distinguish. Visit this Medtronics page. Scroll down and you'll see a row of 5 scope images. No. 2 is oesophagitis. No 3 is Barrett's.
He also pointed out the futility of biopsying inflamed tissue by showing us a slide of such an area.

If you can picture squamous cells the shape of a whoopie cushion lying down, Barrett's (columnar) cells are like a whoopie cussion held upright - this sort of shape: () .
With inflamed cells, they're blown up like a balloon - O shape so not possible to say whether lying down (squamous) or standing up (metaplasia).

If I get a copy of his slides, I'll post them to you.

In the meantime, visit this page from Johns Hopkins and expand the "Definition" tab and the "Images for pathologists" to learn more about histopathology challenges.
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jcombs99
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Quote jcombs99 Replybullet Posted: Today at 4:04pm
       That is what happened to me do I need to make it any clearer . Nor do I need to read slides my Doctors do that I just pay the bill .I have spoken with Ms Montgomery (JHP) on the phone a few times many years ago and she personally reviewed my sets of slides I sent to JHP . I'm the one who got JHP link delinked by the way of a Barrx Doctor off of the Barrx.com links page many years ago . I know u have their link on your website and could careless and I don't know if Medtronics relinked it but as always could careless . My doctor knows her and he helped set the standards of what NDBO,LGD,HGD is in the USA . Dr. Ronald Pruitt and I only deal with the Best of the Best it's all the same price for me.He also had the option of testing the NEW Sponge but Declined it.
I really have no need to keep current like I do because my Doctor is cutting edge as they say .

I always keep an open mind that's why I still living .

CHEERs   

Edited by jcombs99 - Today at 4:14pm
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