Below in quotes is the biopsy report from Yale on my recent scope of August 1, 2018, which I am posting for comments of anyone who wants to make one, and also to note the disclaimer included by the radiologist on Crohn's which I think is now standard and essentially shows how nonsensical it is to break one drop of sweat on any Chrohn's diagnosis because I can bet cash money that a lot of the people who have posted they were told they had Crohn's also had this disclaimer in their biopsy results if they read them carefully. I have only edited this to remove personal identifying information:
"SURGICAL PATHOLOGY REPORT
FINAL DIAGNOSIS
1) COLON, "LOOP ANASTOMOSIS", BIOPSY:
- SMALL BOWEL-TYPE MUCOSA WITH MODERATE INFLAMMATORY AND REACTIVE EPITHELIAL CHANGES, CONSISTENT WITH ANASTOMOTIC SITE
- NEGATIVE FOR DYSPLASIA OR MALIGNANCY
2) POUCH, ULCER, BIOPSY:
- SMALL BOWEL-TYPE MUCOSA WITH MODERATE ACUTE AND CHRONIC INFLAMMATORY CHANGES CONSISTENT WITH POUCHITIS
- NEGATIVE FOR DYSPLASIA OR MALIGNANCY
3) SMALL BOWEL, "ILEAL CUFF", BIOPSY:
- SMALL BOWEL MUCOSA WITH MODERATE CHRONIC INFLAMMATORY CHANGES WITH AREAS OF PYLORIC GLAND METAPLASIA
- NEGATIVE FOR GRANULOMATOUS INFLAMMATION, DYSPLASIA OR MALIGNANCY
- ONE FRAGMENT APPEARS TO BE COLONIC-TYPE MUCOSA WITH SQUAMOUS EPITHELIUM, LIKELY FROM ANORECTAL JU
NCTION
NOTE: The biopsies from the "ileal cuff" reveal few fragments of small bowel mucosa with chronic inflammatory changes and pseudopyloric metaplasia. In addition, one fragment appears to be colonic-type with junctional squamous mucosa and a minute fragment
of squamous epithelium. This suggests these biopsies may be from anorectal junction. None of the biopsies reveal any evidence of granulomatous inflammation; however, correlation with clinical findings is needed to confirm or exclude the possibility of
Crohn's disease. Correlation with clinical findings is suggested.
Pathologist: Dhanpat Jain, M.D.
8/2/2018 18:36 * Report Electronically Signed Out *
This electronic signature indicates that the pathologist has personally reviewed the available gross and/or microscopic material and has based the diagnosis on that evaluation.
Specimen(s) Received:
1:A LOOP ANASTOMOSIS BIOPSIES
2:ULCER IN POUCH BIOPSIES
3:ILEAL CUFF
BIOPSIES
Clinical History and Impression:
Ileal anal pouch
likely Crohn's
Gross Description: (Dhanpat Jain, M.D. ; Whitney L. Johnson)
1. Received in formalin, labeled with the patient's name and " A loop anastomosis" is a 0.6 x 0.5 x 0.1 cm tan irregular soft tissue which is submitted in toto in one cassette.
2. Received in formalin, labeled with the patient's name and "ulcer in pouch" are 3 tan irregular soft tissues ranging from 0.1 x 0.1 x 0.1 cm to 0.4 x 0.2 x 0.1 cm which are submitted in toto in one cassette.
3. Received in formalin, labeled with the patient's name and "ileal cuff" are 3 tan irregular soft tissues ranging from 0.3 x 0.3 x 0.1 cm to 0.6 x 0.4 x 0.1 cm which are submitted in toto in one cassette."