GASTROLAB - the Gastrointestinal Site

 Our Webcam showing the Water Tower of Vasa, Finland
Endoscopy Pictures Archives
Back to the Main Page

The Old Endoscopy Quiz (and Answer) of the Month
May 2006

the GASTROLAB Home Page
the Quiz Page

Question:
Click on an image to get a magnification! - and then click "Back"

If You do a lot of upper endoscopies You probably see a finding like this every week. However typical this is, it might not be so easy to recognize it when seen for the first or second time. This young student came to an upper endoscopy because of problems with intestinal gas and a slight diarrhea. She had earlier been found to suffer from lactose intoleranse, which is quite common in our country. This was the finding in the descending part of her duodenum. The biopsy taken in the last image - what will it show?

Answer:

    The biopsy showed villous atrophy - and so the diagnose is Coeliac Disease.

Correct answers and comments were emailed by

    Dr Virendra Parikh, Fort Wayne, USA, Indiana
    Antonio Siqueira, Brasilia, Brasil
    ARBER VELIU, PRISHTINA, KOSOVO
    Zahreddine Radwan, Beirut, Lebanon
    Salvatore Della Ducata, Gallipoli, Italy
    Daniel Gelfond, Baltimore, Maryland
    Björn Lindkvist, Gothenbourg, Sweden
    Claudia Iacobescu, Bucharest, Romania
    Cevale Karslioglu Sgouros, Istanbul, Turkey
    Dr.khalid Ahmed Bamakhrama, DUBAI, UAE
    ricardo latorre, Santiago, Chile
    German Lloret Salom, Alzira, Spain
    Ma³gorzata Ferenc, Olsztyn, Poland
    PARABOLI SILVA, Marcio Luiz , SAO JOSE DO RIO PRETO-SP- BRAZIL
    mehmet, Istanbul, Turkey
    Jebnoun, Tunis, Tunisia
    Klaudia jadwiga Niepsuj, Gliwice, Poland
    JAMSHID, DUBAI, UNITED ARAB EMIRATES

    Montreal, Canada, in the night
    Haissam Nourallah, Montreal, Canada
    Ellie Pongratz, Bowie, MD
    MARCUS HADDAD FILHO, RIO DE JANEIRO, BRASIL
    Ahmet Faruk Ašan, Istanbul, Turkey
    Amrani Khalil, Constantine, Algeria
    muharrerm Taskoparan, ADANA, TURKEY
    Ho Dang Quy Dung, Choray Hospital, Ho Chi Minh city, Viet Nam
    wanglei, Chongqing, China
    Vassiliki Arvaniti, Piraeus, Greece
    Alberto, Milan, Italy
    erin, west newbury, ma
    Meemee, New York, NY, USA
    STOLL, Saverne, France
    F Desbazeille, Orléans, France
    maria balas, Le Mans, France
    Xavier Lesage, Lille, France
    Papalavrentios Lavrentios, Thesaloniki, Greece
    Eduardo Puelma E., Santiago, Chile
    Kat, Brooklyn, USA
    SRIDHAR Subbaramiah, AUGUSTA, Georgia, USA
    Lorna Kirkham, Milton Keynes, U K
    Sophie, Saint-Etienne, France
    Shannon Facer, Bountiful, Utah, USA
    Dr Munir Bishara, Melbourne, Victoria, Australia
    Tahi Riad, Algiers, Algeria
    Jarek Basaj, Warszawa, Poland
    Patsy Benhart, Iowa city, Iowa
    Hiam Mustafa, Khartoum, Sudan
    Leela Arthur, Brisbane, Australia
    Eduardo, Porto Alegre, RS Brasil
    Manuel, Buenos Aires, Argentina
    hisham, London, UK
    Aaron Thornton, Melbourne, Australia
    yassir khiyar, Hull, UK
    Ervin Toth, Malmö, Sweden
    Robert Popken, Carvoeiro, Portugal
    Bernadette bryceland, UK
    Petr.Vozeh, Prag, českį republika
    Anastasios Koulaouzidis, Liverpool, UK
    Carlos Escobar, Medellin, Colombia
    U Cuartas, Augusta, GA ,USA
    Melissa Detrick, Reno, Nevada, USA
    Sue Gritt, Winchester, UK

Comments:

    Intraepithelial lymphocytes, with inflamatory changed - suggestive of Celiac Diseas - would check TTG levels and consider Gluten Free diet.

Endoscopy Slide-Shows

Image Library


Maps, Satellite Images of all Important Conference Cities


April 7, 2007