Your Endoscopy Report: Key Findings and Next Steps - Gastroenterology and Hepatology

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Dear Patient,
Thank you for sharing your endoscopy report. I understand that interpreting medical findings can be daunting, and I'm here to help clarify the results and suggest next steps based on the findings.


Key Findings from Your Endoscopy Report:
1. Esophagus: The report indicates a normal appearance of the esophagus, with a minimal mucosal break at the esophagogastric junction (EC junction) measuring less than 5 mm. This suggests a mild case of reflux esophagitis, classified as Los Angeles Grade A, which is characterized by minimal changes.

2. Stomach:
- Fundus: Normal appearance.

- Body: A 1 mm sessile polyp was found in the low body of the stomach. This type of polyp is often benign, but it has been sent for biopsy to determine its nature.

- Angularis: Normal appearance.

- Antrum: Mild inflammatory changes were noted, and a biopsy has been taken for further evaluation.

- Pylorus: Normal appearance.

3. Duodenum: Normal appearance, indicating no abnormalities in the first part of the small intestine.


Diagnosis/Impression:
- Reflux Esophagitis, LA Gr A: This indicates inflammation of the esophagus due to acid reflux, which is common and can be managed with lifestyle changes and medications.

- Antral Gastritis: This refers to inflammation of the antrum of the stomach, which can be caused by various factors, including infection (such as Helicobacter pylori), medications, or irritants.

- Suspected Fundic Gland Polyp: The polyp found in the low body of the stomach is suspected to be a fundic gland polyp, which is typically benign but requires biopsy for confirmation.


Recommendations:
1. Follow-Up: It is crucial to follow up with your gastroenterologist (GI OPD) to discuss the biopsy results. This will help determine the next steps based on whether the biopsies show any signs of dysplasia or malignancy.

2. Helicobacter Pylori Eradication: If the biopsy results indicate the presence of H. pylori, treatment to eradicate this bacteria will be necessary, as it is often associated with gastritis and can lead to more serious conditions if left untreated.

3. Close Monitoring: Given the findings, especially the presence of the polyp and the inflammatory changes, close monitoring is recommended. If there are any clinical symptoms or concerns, further imaging or chromoendoscopy may be warranted to provide a more detailed examination.


Conclusion:
Overall, while there are some findings that require further evaluation, there are no immediate complications noted from the procedure, which is reassuring. It is essential to maintain regular follow-ups with your healthcare provider to monitor your condition and address any changes promptly.

If you have any further questions or concerns about your symptoms or the findings, please do not hesitate to reach out. Your health and understanding of your condition are of utmost importance.

Best regards,
Doctor Q&A Teams