Gastro Appt/New tests

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CazMc

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Hello:)

Well, I had my GI appointment and it went pretty much as expected. Colon is clear but she still thinks it is an IBD. So next up is a Faecal Calprotection Test which I have never heard of. Then if that is positive I have to get a MRI or CT scan, if negative it is back to Gastro drawing board. Arghhhhhhhhhhhhhhhh!!! On my little note it now says "? IBD ? Small Bowel Crohns".

Any experience of this test?

Caz x
 
Hi Pen,

Yeah, my GI wants to do this test first and then do a MRI or CT scan (not keen on doing that straight away due to radiation and cost!). I live in Glasgow, where apparently we have a shortage of Gastro Specialists..........typical:ybatty:

Caz x
 
Hi Caz,

Thought you might like this info I took from the Kings College website in London...

Have seen you struggling with this so thought I would do a quick post. I would think several/many of us have had this test but unaware of the name etc....

Hope it helps and you get some results soon honey.

GI Function Test: Faecal Calprotectin

PURPOSE of the TEST
Calprotectin is a stable protein that accounts for about 60% of neutrophil cytosolic protein. Calprotectin is released into the faeces when neutrophils gather at the site of any G.I tract inflammation. Calprotectin can provide a non-invasive, inexpensive and objective method for assessing patients for additional possible invasive procedures e.g.Colonscopy or imaging studies. The faecal calprotectin test has a relatively high specificity and sensitivity (approximately 90%) for distinguishing between non-inflammatory bowel disorders (e.g. irritable bowel syndrome) and inflammatory bowel disease (e.g. ulcerative colitis and Crohn's disease). Calprotectin will also be elevated in some cases of GI tract malignancy (e.g. colorectal cancer). Calprotectin is regularly raised in active IBD. Faecal calprotectin concentrations relate well to disease activity in the inflammatory bowel diseases and can therefore be used to monitor therapy. There is good correlation between faecal calprotectin concentration and 111Indium white cell labelling techniques. Calprotectin is a very stable protein and stool samples can be sent by post for analysis. The test is non-invasive and can be used on adults and children; the same reference range appears to apply to both.



SAMPLE REQUIREMENTS
Random faecal sample (any time of day, no dietary restrictions required) in a plain universal container and approximately 1 gram in weight.



STORAGE AND TRANSPORT
First class post within 4 days (temperature not to exceed 30°C during transport)



TURNAROUND TIME
1 - 2 Weeks
 
Jan, thank you sooooo much for that:) It just seems like such a random test to do now, esp when I have been through such invasive ones before now. Am now concerned about weight of my "sample"....the dr didn't even mention that. Whoops...:ybatty:

Caz x
 
The weight will certainly be more than that if you collect it properly. 1 gram of feces is an extremely small amount.
 
I will assume I have done it right as it was a home one but am sure I will hear soon enough if I haven't!!

Caz x
 
Not a problem Caz, glad it helped!

Thing to remember is some tests dont make sense but they can add another aspect to the puzzle as to the site of the problem...

My crohns was suspected because I had a bile salts test done at nuclear medicine. The results showed I wasnt reabsorbing the amount we should normally and was drastically low. We reabsorb bile salts in our terminal ileum.. guess where my crohns was found??

So hang in there on this one. You might be surprised...

Let us know how you get on. The wont worry about the sample size it will be enough whatever is in the pot!
 

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