منظار المعدة والحؤول المعوي

​قمت بعمل منظار على المعده وكانت النتيجة التالية
Upper GI Endoscopy
Date:30/04/2017

ndication
Dyspepsia

Pre-Medication
Midazolam 4 mg
IV Pethidine 25 mg iv

Procedure
Physical Exam was performed. Informed consent was obtained, risks like perforation, bleeding, infection and adverse effects to the medication were all explained to the patient, Patient was connected to the monitoring devices and placed in the left lateral position.
Continuous oxygen was provided with nasal cannula, Olympus Gastroscopy was used to intubate the esophagus under direct visualization and advanced to the GE junction, the stomach was entered, air was insufflated, fluid was suctioned, and the Antrum was identified, the scope was advanced to the third portion of the duodenum, retro flexion was done in the stomach.
Careful inspection was done on the way in and way out, the patient tolerated the procedure very well.
There were no immediate complications.
He was subsequently transferred to the recovery area in satisfactory condition.

Findings

Oesophagus
The oesophagus was normal Lax Cardia.
The gastroesophageal junction was noted at 38 cm from the incisors teeth.
The oesophago gastric mucosal junction (z-line) was regular at 38 cm from the teeth.

Stomach
mild diffuse erythema.

Pylorus
The pylorus was normal.

Duodenum
mild erythema.

Complications
There were no complications during the procedure

Conclusion
lax cardia, mild gastritis and duodenitis.

Recommendation
Follow Biopsy Results

Specimens
Pot 1: Histology: forceps biopsy from the whole stomach (5 biopsies).

SURGICAL PATHOLOGY REPORT

Status of Report Final

CLINICAL HISTORY:
Dyspepsia.

EGD: mild gastritis and duodenitis.
? Gastritis.

SPECIMEN:
Stomach biopsy

GROSS DESCRIPTION:
Specimen consists of multiple soft tissue fragments.
Totally submitted in one cassette.

MICROSCOPIC DESCRIPTION:
Sections show antral and body type gastric mucosa with mild chronic focally active gastritis
No definite H. pylori seen.
Focal intestinal metaplasia (goblet cells) seen.
No evidence of dysplasia or malignancy.

DIAGNOSIS:
Gastric biopsy:

Mild chronic focally active gastritis with focal intestinal metaplasia.

ارجو التكرم بالافاده ومدى الخطورة وعلاج الحاله مع شرح نقطة
intestinal metaplasia
وهل هي مقدمه للاورام السرطانيه عافانا وعافاكم الله
مع العلم ان الدكتور طلب مني عمل منظار كل سنة على المعده واعطاني دواء نيكسيوم ٤٠ والذي خفف آلام المعده بشكل كبير
شكرا جزيلاً وجزاكم الله خيراً