![]() ![]() Ileal mucosa showing acute inflamation, cryptitis, increased lamina propria inflamation, erosion, with flattened and the broad villie. follow up in office in 3 weeksĬolonscope was slowly withdrawn with periodic reinsertion and withdrawl of the colonscope to make every effort to inspect all folds and fexures PLAN: check path, surgical evaluation, flayl tid for 2 weeks for anal fistula. Retroflexion done in rectum.įindings: Severe ileitis, peri anal disease, anal fistula. Peri rectal anal fissure noted, draining light green drainage, large external hemorrhoids. Mucosa in cecum, transverse colon, decending colon, sigmoid colon appeared normal. Mucosa in rectum revealed patchy erythema, biopsied. Indications: h/o crohn's disease, fe deficiency anemai and weight lossĮxam: Extent of exam reached: Colonscope is passed to the cecum with ease, the cecum identified by ilcal cecal valve and appendiceal orifice, Terminal Ileaum, ileum intubated, mucosa edematous, crythematous, nodularwith large area of ulceration, biopsied, hard. Impressions: mild gastritis, no obvious source of iron deficiency found. The second portion of the duodenum was normal, biopsy taken from spure The gatric body and antrum revealed patcy erythema, biopsied. The GE junction was about 40cm from the incisors. The insufflation was suctioned out and the scope was retracted the length of it's insertion and removed per os.įindings: The esophagus was normal. The scope was retracted into the gatric body and multiple random gastric biopsies were obtained and sent to pathology for tissue indentification and to rule out H. The scope advanced into the duodenal bilb and second portion of the duodenum. The gasric body was entered, the scope retroflexed, and all areas well visualized. Procedure: Endoscopic was introduced under direct visialization per os and advanced through the oral pharynx, through the esophageal inlet, esophagus and GE junction. Besides what The rude GI doctor wrote, I was reading the results from the bipopsy's taken. Hello Everyone, I was able to get my report faxed over to me regarding the endoscopy and colonoscopy so I can bring it to my primary care doctor.
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