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Endoscopy Today


Brit1612

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Brit1612 Apprentice

We finally had my son's endoscopy today. Of course we won't know much until the biopsy comes back. They did 8 this time, so hopefully it will be more reliable.

They did mention that there was a spot that appeared more smooth on the duodenum, which would be more consistent with celiac, but that could just be like "human error". She said if they weren't already focused in on celiac then they may have not even thought anything of it. Not sure if she is just trying to be nice and not make us worry, or if it really wasn't anything. I can't help but feel that she wouldn't have mentioned it if she thought it was nothing.

To be honest, I was expecting her to say everything "looked good" no matter what since you always hear celiac damage typically can't be seen.....


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Jays911 Contributor

My Gi doc initially told me he thought I was "clean", but two days later told me I definitely had celiac. I hope this is the final,resolution you and your son deserve. Even if it isn't celiac, think about going gluten free. I feel so much better since I did. Blessings.

Brit1612 Apprentice

My Gi doc initially told me he thought I was "clean", but two days later told me I definitely had celiac. I hope this is the final,resolution you and your son deserve. Even if it isn't celiac, think about going gluten free. I feel so much better since I did. Blessings.

Did he tell you that just from what he saw during the procedure, or after seeing the biopsy results? Thanks...

cyclinglady Grand Master

My GI thought I looked good visually, but the biopsy proved otherwise.

celiac sharon Apprentice

Mine looked clear visually as well but came back clearly celiac

BlessedMommy Rising Star

I'm hoping for a clear answer for you. You've been through so much trying to figure things out! Keep us posted!

nvsmom Community Regular

Most celiacs can't be diagnosed except from the biopsy.  Things usually look good, if sometimes a bit inflamed, while they are doing the endoscopy.

 

Good luck to your son.  :)


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Dancingfeet Newbie

I was diagnosed from a blood test initially.

Had to have an endoscopy to 'prove' it.

On screen apparently there was only a small sign of inflammation, but two months later, the biopsy results came back showing very much coeliac.

Brit1612 Apprentice

Ok, the results are in.  We are just waiting for the "enzyme analysis" (not really even sure what exactly that is looking for), but the biopsies came back completely clean.  The doctor feels confident in saying that he does NOT have celiac disease.  To be honest, I am shocked.  I honestly thought she was going to find something, but at the same time, he has done perfectly fine during the gluten challenge. 

 

Since we know he has the genes I understand that he could potentially get celiac one day, but as of now, all of his bloodwork (complete panel) is coming back very negative, and the biopsy was negative.

 

I still can't help but wonder what caused his positive igg, and what (more importantly) made him not grow for a long stretch of time......

 

But the doctor says we can't just hang on that one test (that is now negative - ON gluten), that we have to focus on him, and that he seems to be doing fine and the test are not showing anything.  I would not have trusted my first GI but this one is great, she did extra biopsies....just to be sure we weren't missing anything.  She is very thorough.

 

Now we will be off to see an immunologist to see what they have to say about his low IGA numbers.  Could a low IGA in itself have been the cause of all the issues?  I know it can cause diarrhea.....

 

 

Thanks everyone!

murphy203 Rookie

Congrats!! Here's hoping that a diagnosis never happens or happens far in the future when he is more capable of managing the diet. :-)

I went through this with my son when he was a tweenager. His blood tets were slightly elevated but his biopsies were clear. We let it go at that point. He is rerunning the celiac tests now based on my diagnosis as soon as he has a morning off and can get to a lab.

BlessedMommy Rising Star

Yay! Congrats on the negative tests. It always feels good to get a definitive answer. I was very relieved when my daughter tested negative for celiac. 

Brit1612 Apprentice

Congrats!! Here's hoping that a diagnosis never happens or happens far in the future when he is more capable of managing the diet. :-)

I went through this with my son when he was a tweenager. His blood tets were slightly elevated but his biopsies were clear. We let it go at that point. He is rerunning the celiac tests now based on my diagnosis as soon as he has a morning off and can get to a lab.

What you are saying is what I am worried about with my son.  I want to feel confident that he really doesn't have it.... And I do trust the GI we have now, but I do worry that we are missing something.  But for now I just have to trust the results.  How did your son's recent labs turn out?

Brit1612 Apprentice

Thanks everyone!

murphy203 Rookie

Hi Brit, my son finallly went to the lab this morning, so we should have results in a few days. Your son is adorbale, btw. Mine is 6'4" tall now!!

nvsmom Community Regular

I hope he continues to be well if he will be eating a normal diet.  :)  Best wishes.

Brit1612 Apprentice

I hope he continues to be well if he will be eating a normal diet.   :)  Best wishes.

For now, we are continuing a normal diet.  It is just so hard to follow if it is not necessary.  But we will be watching him like a hawk for any reason to believe he should be back on the diet. Going to see an immunologist this month and hopefully they can give us some more answers.....  Thanks for everything.

Brit1612 Apprentice

Hi Brit, my son finallly went to the lab this morning, so we should have results in a few days. Your son is adorbale, btw. Mine is 6'4" tall now!!

Oh wow!  I don't think my little guy will ever be that tall!  Thanks, he is a handful :).  Hope your sons results come back negative.  What symptoms lead to him being tested as a child, if you don't mind me asking?  

murphy203 Rookie

Hi Brit, I don't mind at all!! My son had nausea, constipation, and headaches, primariy. He didnt eat meat from the time he was a little kid (his choice, texture thing, with the blessing of his pediatrician) until he went to college and started eating ground beef (again, his choice) -- which, as you can imagine, is a great relief to me. The reason I bring this up is that his diet was full of fruit and vegetables at the time he had so much constipation. And grain. And milk. Turns out lactose (and anxiety) were his problems.

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      Well I had a moment yesterday morning where I accidentally gave her gluten. She wanted what I was eating and I forgot and let her have a few bites of toast. It was a really bad night last night with her behavior. Will a few bites of bread influence their behavior that much or could it just be a coincidence?
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      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
    • MaryMJ
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    • trents
      I agree. Doesn't look like you have celiac disease. Your elevated DGP-IGG must be due to something else. And it was within normal at that after your gluten challenge so it is erratic and doesn't seem to be tied to gluten consumption.
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