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Hello Friends!

My biopsy of the pouch came back with patchy chronic enteritis and pyloric gland metaplasia. I have looked up a couple of articles on this and am concerned as one says it is indicative of antibiotic resistant pouchitis. Can anyone shed some insight on the latest on this pathological finding?

 

Last edited by katenet
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Yes I've had pouchitis pretty much since getting the pouch. I haven't taken antibiotics in awhile ---used to take flagyl, cipro, xifaxin, tindamax .  noticed this on the path theory and started reading which freaked me out. I saw that others were posting path reports saying they were trying to rule out pyloric gland metaplasia so I wondered what it means to have it.

Just because a histological finding is associated with a possible diagnosis, it does not mean you have that diagnosis.

 

Pyloric gland metaplasia definitely means chronic inflammation. That is the only thing you can be sure of. Could be antibiotic resistant pouchitis or even Crohn's. But, it also could be just regular chronic pouchitis that is responsive to antibiotics.

 

Jan

 

 

I've been wondering about this since I'm rotating antibiotics constantly. Is there a time when something like this is mentioned?  I didn't even know what it would be called, if there was such a thing. I suppose there is more than one thing.  

 

During my final colonoscopy I was still awake enough to see that my colon was black inside, kind of like charred looking.  My GI came into recovery with an appointment in 2 days for a CTScan and an antibiotic prescription.  I also had diverticulitis. I knew the time had come to make some difficult decisions. It was and now I'm here.

Thanks  

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