RE: [Histonet] H.pylori immunos on gastric biopsies

From:"Smith, Jeffery D. \(HSC\)"

I have to somewhat agree.  Immunos for H. pylori seems to be overkill.  We routinely stain for H. pylori using a Giemsa on all GI biopsies.


From: on behalf of Bill Blank
Sent: Tue 1/24/2006 9:29 AM
Subject: RE: [Histonet] H.pylori immunos on gastric biopsies

IMO, we take this detecting H. pylori thing too seriously. A rational
physician treats the patient and not any lab test. If I had symptoms
of H. pylori, if my stomach looked inflamed, I would want to be
treated for H. pylori irregardless of their presence on a biopsy.
(Well, maybe as there is some evidence that treating antral H. pylori
may increase the risk of GE junction adenocarcinoma)

I consider immunos on gastric biopsies to be overkill and a waste of
health care dollars.


At 7:53 AM -0600 1/24/06, GUTIERREZ, JUAN wrote:
>We do immunos on all gastric biopsies.  We had some cases that looked
>negative by giemsa stain, yet the clinical hx suggested otherwise.  When
>we ran the immunos on these so called negatives, we were shocked to see
>the amount of organisms we had missed.  Do you want to take that chance?
>I always ask myself: what if this was my biopsy?  Something to think

Bill Blank (Celtic studies and numismatics)
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