Hi Mumnetters,
I appreciate you help and support. I recently went to A&E. They recently referred me for urgent endoscopy and colonoscopy.
I had the procedure. After the the procedure a nurse told me they found mild abnormal mucosa in the stomach.
I read the discharge summary and it states the overall impression
OGD for aneamia. Mild Gastritis Biopsies taken.
Duodenum normal. D2 biopsies taken? colelic
I got the following result a week later:
A. D2 biopsy: One biopsy measuring 2mm. One in one. All taken.
B. Gastric biopsies: Two biopsies measuring 2mm and 4mm. Two in one. All taken.
Microscopic Description
A. These are biopsies of duodenal mucosa with reactive changes, with features in
keeping with a drug reaction (such as NSAIDs), infection or upstream gastritis.
Biopsies show mildly blunted villi, Brunner gland hyperplasia and chronic
inflammation. No pathogens or granulomas are identified and there is no evidence
of dysplasia or malignancy.
B. These are biopsies of antral type gastric mucosa with reactive gastritis.
Biopsies show foveolar hyperplasia, fibrous expansion of the lamina propria and
splayed smooth muscle fibres. No acute inflammation, Helicobacter pylori forms
or intestinal metaplasia is seen and there is no evidence of dysplasia or
malignancy.
Conclusion
A: Duodenal biopsy; reactive changes
B: Gastric biopsy; reactive gastritis
The following seeking I got a letter from the MDT discussion
Outcome of attendance
No further treatment required
Indications:
I am reviewing your results, following your recent 2 week wait colorectal cancer pathway referral with anaemia and change in bowel habit.
Investigations:
Colonoscopy:
OGD:
- Gastritis - non-erosive
- Duodenal biopsy; reactive changes, with features in keeping with a drug reaction (such as NSAIDs), infection or upstream gastritis. No pathogens or granulomas are identified and there is no evidence of dysplasia or malignancy.
- Gastric biopsy; reactive gastritis. No acute inflammation, Helicobacter pylori forms or intestinal metaplasia is seen and there is no evidence of dysplasia or malignancy.
Summary:
There is no evidence of colorectal cancer. As per BSG Guidelines you will not require further endoscopic follow up.
Plan:
- Discharge off the 2WW colorectal cancer pathway.
We recommend that all patients should take part in the National Bowel Screening Programme, when invited to do so
I have emailed to the team to clarify with the team whether I needed to treat the gastritis. The admin confirmed I require no further input from gastrenology but I should treat the gastritis.
Does anybody have any advice on how to go about this? I am somewhat confused.