Your Gastroscopy Report: Key Follow-Up Questions - Gastroenterology and Hepatology

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Issues with Gastroscopy Pathology Report


Thank you, doctor, for explaining my endoscopy report.
I would like to ask if there are any specific things I need to pay attention to, as I noticed that regular endoscopic examinations are required to monitor for any potential deterioration.
Thank you for your assistance.

Mr. Lai, 20~29 year old female. Ask Date: 2021/05/24

Dr. Chen Shidian reply Gastroenterology and Hepatology


When symptoms are present, an upper gastrointestinal endoscopy can be performed annually for monitoring.

Reply Date: 2021/05/24

More Info


Understanding your gastroscopy report is crucial for managing your gastrointestinal health effectively. Based on the findings from your report, there are several key points and follow-up questions you should consider discussing with your healthcare provider.


Key Findings from Your Report
1. Reflux Esophagitis: This condition indicates inflammation of the esophagus due to acid reflux. The report notes it as Grade A, which is considered minimal. While this may not seem severe, it is essential to manage it to prevent further complications, such as Barrett's esophagus, which can increase the risk of esophageal cancer.

2. Antral Gastritis: This refers to inflammation of the stomach lining, specifically in the antrum, which is the lower part of the stomach. The presence of gastritis can lead to symptoms like abdominal pain, nausea, and indigestion. Since a biopsy was performed, it is important to await the results to determine the underlying cause and appropriate treatment.

3. Suspected Fundic Gland Polyp: The report mentions a small polyp in the low body of the stomach. While many gastric polyps are benign, some can have the potential for dysplasia or malignancy. Regular monitoring through follow-up endoscopies is advisable.

4. Biopsy Results: The biopsies taken during the gastroscopy will provide more detailed information about the nature of the gastritis and any potential precancerous changes. It is crucial to discuss these results with your doctor once they are available.


Follow-Up Questions to Consider
1. What are the next steps based on my biopsy results? Understanding the implications of your biopsy results is vital. If any dysplasia or precancerous changes are found, your doctor may recommend more frequent monitoring or specific treatments.

2. How often should I have follow-up gastroscopies? Given your current findings, your doctor may suggest a follow-up gastroscopy within a year or sooner, depending on your symptoms and biopsy results. Regular monitoring is essential to catch any changes early.

3. What lifestyle changes should I consider? Since you have reflux esophagitis and gastritis, dietary modifications may help alleviate symptoms. Discuss with your doctor about avoiding certain foods, managing stress, and possibly incorporating medications to reduce stomach acid.

4. What symptoms should prompt immediate medical attention? It’s important to know which symptoms may indicate a worsening condition, such as severe abdominal pain, difficulty swallowing, or gastrointestinal bleeding.

5. Is there a need for Helicobacter pylori eradication therapy? If your biopsy results indicate the presence of H. pylori, treatment will be necessary, as this bacterium is associated with gastritis and peptic ulcers.


Importance of Regular Monitoring
Regular follow-up is essential in managing gastrointestinal conditions effectively. The risk of progression to more severe disease, including cancer, can be mitigated through early detection and intervention. Your healthcare provider will tailor the follow-up schedule based on your individual risk factors, symptoms, and biopsy results.

In conclusion, understanding your gastroscopy report and the implications of its findings is crucial for your health. Make sure to have an open dialogue with your healthcare provider about your concerns, follow-up plans, and any lifestyle changes you can implement to improve your gastrointestinal health. Regular monitoring and proactive management can significantly enhance your quality of life and reduce the risk of complications.

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