Hello again everyone.
Just an update on my situation and a question.
So last Wednesday i went in for the 2nd session of the Argon Plasma to blast the ulcers as i was still bleeding.
To my surgeons surprise he saw that the ulcers were healed but i now have 10cm of inflammation above the pouch, then totally clear 60cm beyond that.
I was heavily sedated so he came and told me this when i was coming around in my room afterwards, his words were “you’re weird” and that i’m an “enigma” this is due to my body doing weird things back when i had the surgery in 2006.
Anyway he told me that the pouch was healthy and clear, the ulcers had healed but i have this inflammation just above the pouch, he said the closest thing he can diagnose it at the time was pre prouch ileitis, as he saw a tiny rash like patch there years ago but it was too insignificant to treat at the time.
I’m a bit of a hypochondriac so i asked if it could be cancer or some sort of dysplasia which he firmly said no to, and that he took some biopsies and to see him in 2 weeks time.
I forgot to ask about Crohn’s which i know is a possibility too.
I got through the post today his post procedure report, i will type it out in full -
The ileal pouch is healthy, 10cm of pre pouch ileum shows a villous appearance but no ulcers visible.
So my question is - what is a Villous Appearance? I googled it and one thing that came up was Villous Adenoma which can become cancerous, and the other thing i read was that villi (small hair like strands) are normal in the intestine.
So does he mean that despite the inflammation i still have normal looking villi that has not atrophied?
Or is it something more worrying?
He didn’t seem worried after the procedure just more baffled than anything as the area where the inflammation is was totally clear back in December 2021 and possibly 2 months ago when he did the Argon Plasma treatment.
Whenever i have read about pre pouch ileitis it seems that most people also have some sort of inflammation in the pouch too, maybe thats why he is also baffled by me.
Thank you