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Colonoscopy Findings
Polyps are small growths
in the colon, most often benign lesions. Some polyps have the potential to become
malignant and transform into cancers. Polyps are removed at endoscopy and the pathology
allows your physician to determine if and when follow-up examinations will be needed.
Diverticulosis refers
to small pouches that form in the wall of the colon, called Diverticuli. They are
typically in the lower colon but may be anywhere in the colon. If infected or bleeding,
they require treatment. People who consume a Western diet are most susceptible.
Common treatment includes a high fiber diet and avoiding constipation.
Colitis is a general
term which refers to inflammation in the colon. It can have many causes. The treatment
of colitis will vary depending on the cause. It is best to discuss the finding with
your doctor.
Hemorrhoids refers
to inflammation of the hemorrhoidal blood vessels at the anal opening at the end
of the colon. They can cause itching, irritation, and minor bleeding in the anal
areal. No treatment is needed if they are discovered and no symptoms are present.
Common treatment includes topical therapies as well as a high fiber diet. In rare
cases surgery may be required to remove or ablate the hemorrhoids.
Upper GI Endoscopy Findings
Esophagitis refers
to inflammation of the esophagus. The most common cause of esophagitis is gastroesophogeal
reflux disease(GERD). This is the reflux of acid from the stomach into the esophagus.
There are lifestyle modifications which can be made for GERD. Medications to suppress
or neutralize stomach acid are the most common medical treatment for GERD.
Gastritis refers to
inflammation of the stomach. There are many things that can cause gastritis. The
most common are a bacteria called Helicobacter Pylori and aspirin like pain medications.
Treatment may include stopping medications that cause gastritis, eradicating Helicobacter
Pylori, and medications that suppress acid.
Gastric and
Duodenal Ulcers are areas where the lining of the stomach or bowel has
been eroded away. They are similar to an abrasion on the skin. The most common causes
are Helicobacter Pylori and aspirin like pain medications. Treatment may include
stopping medications that cause ulcers, eradicating Helicobacter Pylori, and medications
that suppress acid.
Barretts Esophagus
refers to an area of the esophagus which when viewed under a microscope looks like
small intestinal tissue. The exact cause is unclear but it is more common in
people who have problems with gastroesophogeal reflux(GERD). Barretts esophagus
does carry an increased risk of esophageal cancer and requires periodic endoscopies
for surveillance. All patients with this condition need to be on medication to suppress
stomach acid.
Hiatal Hernia refers
to part of the stomach being in the chest cavity. It is an extremely common finding.
A hiatal hernia makes a person more likely to get gastroesophogeal reflux(GERD)
but is not a problem which requires repair unless the hernia becomes very large.
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