Cryptitis (Level II) - What does this mean?

[juliaanna1701]

Hi all,

I have just been going through my endoscopy + colonoscopy results, which I never received from my specialist and had to beg over the phone for. Finally arrived four months later!

In the summary findings of the biopsies taken, these are the results:
CAN SOMEONE PLEASE HELP ME TRANSLATE THEM? Any help would be appreciated

 

[Jabee]

It would be best to discuss the results with one of your doctors, but I know from personal experience that some doctors are better than others in terms of going over biopsy and imaging results with their patients. My own GI is a fantastic diagnostician but is a bit less proactive when it comes to treatment consultations.

That said, I did a bit of research into intestinal lymphangiectasia and found this article:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3046182/

I gather you have reflux and hope you are on a PPI for it. Your esophageal biopsies show mucosal changes so I am hoping your GI spoke with you about them.

The cryptitis in your TI biopsy shows some localized inflammation of the crypts, intestinal cells which secrete digestive enzymes and produce new intestinal epithelial cells which ensure the intestines are working correctly since the cells are continuously swept away by the food passing through the intestines. I'm not familiar with the differential diagnoses for this biopsy from your TI; the article I found lists a few and your GI or GP should help you understand what might be going on. I'm sorry you had to bug the hospital to get the results.

I hope this helps!

 

[my little penguin]

Tagging Dancemom
I believe they found something similar for her dd
So she might have some insight

 

[juliaanna1701]

It would be best to discuss the results with one of your doctors, but I know from personal experience that some doctors are better than others in terms of going over biopsy and imaging results with their patients. My own GI is a fantastic diagnostician but is a bit less proactive when it comes to treatment consultations.

That said, I did a bit of research into intestinal lymphangiectasia and found this article:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3046182/

I gather you have reflux and hope you are on a PPI for it. Your esophageal biopsies show mucosal changes so I am hoping your GI spoke with you about them.

The cryptitis in your TI biopsy shows some localized inflammation of the crypts, intestinal cells which secrete digestive enzymes and produce new intestinal epithelial cells which ensure the intestines are working correctly since the cells are continuously swept away by the food passing through the intestines. I'm not familiar with the differential diagnoses for this biopsy from your TI; the article I found lists a few and your GI or GP should help you understand what might be going on. I'm sorry you had to bug the hospital to get the results.

I hope this helps!

Thank you so much for your help!

Unfortunately my specialist is not, how shall I put it, helpful. She tells me that all of my gastrointestinal problems and pain are in my head and I am just exaggerating my symptoms. Like I have nothing else better to do!

She treats me pretty poorly and dismisses my thoughts and opinion every time I see her, only to tell me that she is the dr and I know nothing, and that I should get over it and basically leave appointments with her for patients who really need it.
I'm not a very outspoken person and get intimidated easily, so I never know how to respond or ask the right questions when she sees me. It is definitely not easy for me and I struggle a lot with hospitals at the best of times, so i'm always upset after I see her.
Argh it sucks but as it is through the public health system, I can't afford to seek any additional help or a second opinion at the moment as I am a student. I only received these results after asking for them four months ago; I didn't know why she didn't give them to me originally.

Your help has helped a lot, thank you I will do some more research. Luckily my GP is convinced I need to be seen and given help, so I will also ask her for her thoughts.


I have been diagnosed with gastroparesis, EoE, Coeliac disease (five years ago) but no IBD diagnosis atm. Which is why I cam questioning my results and my specialist's lack of concern, incase there IS something that needs to be done.

 

[DanceMom]

My daughter does have Primary Intestinal Lymphangiectasia, diagnosed after LOTS of testing. It is extremely rare and usually diagnosed very early in life. My daughter has a mild case (all things considered) so her diagnosis came at 11 years of age.

Lymphangiectasia can be an incidental scope finding if the individual eats a diet high in fat. True intestinal lymphangiectasia presents with symptoms like low IgG, low WBC, anemia, swelling in the face and limbs, diarrhea, poor growth, etc.

I'd be happy to answer any questions you may have. This diagnosis is new to us, and we're still learning, but always happy to share/support.