Endoscopy Statement... Help Me Understand?

[pwalasik]

I had an endoscopy today. The impression says.....

Subtle scalloping of the duodenal folds noted. Multiple cold biopsies were obtained.

Evidence of nonerosive gastritis of the antrum. The mucosa appeared erythermatous. Multiple random cold biopsies were obtained from the antrum and the body of the stomach.

The esophagus appeared normal.

I was diagnosed with a vitamin D deficiency in February but all blood test came back negative for Celiac.

There is a family history of celiac.

The doctor says about a 50/50 chance the biopsy will reveal Celiac. Any advice and explanation of the above impression would be helpful.

Thanks!

[Lisa]

I had an endoscopy today. The impression says.....

Subtle scalloping of the duodenal folds noted. Multiple cold biopsies were obtained.

Evidence of nonerosive gastritis of the antrum. The mucosa appeared erythermatous. Multiple random cold biopsies were obtained from the antrum and the body of the stomach.

The esophagus appeared normal.

I was diagnosed with a vitamin D deficiency in February but all blood test came back negative for Celiac.

There is a family history of celiac.

The doctor says about a 50/50 chance the biopsy will reveal Celiac. Any advice and explanation of the above impression would be helpful.

Thanks!

Scalloping is classic for Celiac. That with a strong family history and I am sure that you have other symptoms could very well indicate Celiac. Your biopsies may or maynot confirm a diagnosis, as they can be hit or miss.

It is very possible that you have not sustained enough damage for positive blood work, which also is not conclusive due to it's inaccuracy.

A positive dietary response will confirm. Good Luck.

[ravenwoodglass]

As stated that was a positive endo. Some doctors will refer to changes like these as preceliac and give a diagnosis even if the biopsies missed damaged villi. Other doctors will not diagnose until the villi are totally gone. It is not unfortunately unheard of for someone with preceliac changes to hear that they can keep eating gluten and come back in a year to see if the villi are destroyed yet. Hopefully this will not be something your GI tells you.