[Histonet] H.pylori immunos on gastric biopsies
Fred Underwood
funderwood <@t> mcohio.org
Thu Jan 26 09:54:14 CST 2006
I would have bet $10 I wouldn't have seen that phrase today.
>>> "Marshall Terry Dr, Consultant Histopathologist"
<Terry.Marshall <@t> rothgen.nhs.uk> 01/25/06 06:54AM >>>
Yes, but a turd is easier to bottle.
Dr Terry L Marshall, B.A.(Law), M.B.,Ch.B.,F.R.C.Path
Consultant Pathologist
Rotherham General Hospital
South Yorkshire
England
terry.marshall <@t> rothgen.nhs.uk
-----Original Message-----
From: Kemlo Rogerson [mailto:kemlo.rogerson <@t> waht.swest.nhs.uk]
Sent: 25 January 2006 09:02
To: Marshall Terry Dr, Consultant Histopathologist; Smith, Jeffery D.
(HSC); Bill Blank; Histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] H.pylori immunos on gastric biopsies
Isn't there a breath test too?
Kemlo Rogerson
Weston Super Mare Cell Path Manager
-----Original Message-----
From: Marshall Terry Dr, Consultant Histopathologist
[mailto:Terry.Marshall <@t> rothgen.nhs.uk]
Sent: Tuesday, January 24, 2006 5:09 PM
To: Smith, Jeffery D. (HSC); Bill Blank;
Histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] H.pylori immunos on gastric biopsies
H. pylori is a pathogen. It does not sit in the stomach behaving
itself. Its
presence is an indication for treatment, but its absence is *not* an
indication for treatment directed against it, irrespective of how
inflamed
the stomach looks.
The best histologic determinant of H. pylori is an immunostain.
However, in most cases, this is all rather academic, as a quick stool
test
is available, directed against H. pylori antigen, so in most cases, we
are
really trying to determine something better done by other means.
Dr Terry L Marshall, B.A.(Law), M.B.,Ch.B.,F.R.C.Path
Consultant Pathologist
Rotherham General Hospital
South Yorkshire
England
terry.marshall <@t> rothgen.nhs.uk
-----Original Message-----
From: Smith, Jeffery D. (HSC) [mailto:Jeffery-Smith <@t> ouhsc.edu]
Sent: 24 January 2006 16:18
To: Bill Blank; Histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] H.pylori immunos on gastric biopsies
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: histonet-bounces <@t> lists.utsouthwestern.edu on behalf of Bill
Blank
Sent: Tue 1/24/2006 9:29 AM
To: histonet <@t> pathology.swmed.edu
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.
BIll
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
>about.
--
_____________________________
Bill Blank
http://kernunnos.com (Celtic studies and numismatics)
OBOD's Message board: http://www.druidry.org/board
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