Granuloma found on my biopsy-panicking

Grace3Member

Hi everyone. I had my colectomy jpouch surgery in Sept '11 and than my takedown in Feb '11. I have been doing great since with only one case of Pouchitis last August and some chronic fatigue that is not a big problem. I'm very thankful for this board and all of the encouragement I received after my surgeries.

I'm on VSL#3. My latest pouch biopsy showed a granuloma and chronic inflammation in the transition zone. My doctor wrote me a note that says that he feels Chrohns is unlikely. But why do I have this and will I lose my pouch if I do have Chrohns?

Thanks for your insights.
Grace

3/15/133:30 PM

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TE MarieMember

Did he prescribe you an antibiotic or two to take at the same time for pouchitis. Did he say it's pouchitis? If he did biopsies ask for a copy of the pathology report.

My pathology reports after my scopes said I had UC on my cuff and some other technical terms abut it all describing why it was UC. It also said the other biopsies were ok in my pouch and up a few feet into my small intestines.

I wish doctors would explain results and everything better. They tend to zoom in and out with their hand on the door knob, especially my surgeon.

3/15/134:00 PM

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elooneyMember

Hi Grace3,

I'm just wondering what ever happened? How have you been treating the inflammation and the granuloma?

I hope all is well,
E

4/17/134:35 PM

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Jan DollarModerator, RN, retired

The medical literature states that granulomas found in the transition zone or the suture line are not reliable indicators of Crohn's, as granulomas can form due to a reaction to the surgical connection. So, please don't panic about this.

Jan

4/17/136:09 PM

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