In my earlier asked question you said that "when the doctor takes a biopsy from your stomach for histology examination, the biopsy is only a very small part of the whole stomach. If the doctor did not pick the metaplasia part, then histology will not show", so does that mean that one can never be 100% sure that intestinal metaplasia has reversed??????????
no test is 100%. Usually gastroenterologist would pick a biopsy from regions he thinks is suspicious. of course, there is chance that he could miss. Then again, if he missed it, it's probably very mild. So dont get too paranoid about it. Since it's a very very chronic problem, you can get another endoscopy done next year to see the progress.
H. heilmanii is the same as H. pylori. Probably even weaker than H. pylori in terms of resistance against antibiotics. As animals are less exposure to antibiotics like human. Usually H. heilmannii is pretty easy to kill off.
As for what marker for immuno stain, he can try some polyclonal anti-H. pylori antibody.
It's impossible for pathologist to identify which type of Helicobacter species. Some experienced pathologist would see slight difference between H. pylori and other species. But they since they cannot tell which Helicobacter, they can only comment that on H. pylori-like organism.If someone infected with h pylori, do they clearly specify and mention in the histology report as H pylori? Or they just report any type including h pylori just as helicobacter-like organism?
good question. I dont know if ALL H. heilmanii would cause harm. Since only the carrier with symptoms visited the doctors. And usually those with symptoms, will have some sort of gastritis and that can lead to intestinal metaplasia.It would be interesting if I was not infected with H pylori. Can helicobactor heilmanni cause intestinal metaplasia too?
It's very rare for other Helicobacter species to infect human. Each Helicobacter species have their specific host. That's why Prof. Marshall failed to find a good animal model to demonstrate his theory, and he has to drink H. pylori himself!