Intestinal Metaplasia

I just had an endoscopy and biopsy 4 weeks ago, the results were SUPERFICIAL CRONICAL INFLAMATION (inflammation), INTESTINAL METAPLASIA and HELICOBACTER PILLORY POSITIVE. My simptoms are Fullnes, even by just looking at food and Im always suffering of accidity or heartburn so I take omeprazole 3 to 4 times a week. Is there any cure for the cronic (chronic) gastritis and what shoul I do or not eat? How much at risk of having stomach cancer am I? Is intestinal metaplasia reversible? My doctor prescribed 2 weeks of lanzoprazol and antibiotics, does the cancer risk decrease after eliminating the HP? and last the Dr. said I should check my stomach or the Intestinal Metaplasia every 2 years. I ask all this cuz here we dont have the best facilities and medical care. Thank You

[Kevin Pho, MD]

The results are suggestive of inflammation caused by H Pylori.  This is a bacteria that is associated with acute and chronic inflammation of the upper GI system.  To answer your questions:

1) Antibiotics are the treatment for H. Pylori inflammation.  Typically 2 antibiotics and a proton-pump inhibitor are used.  

2) Studies show that H Pylori infection causes a 6-fold increase in the risk of stomach cancer.  

3) If the H Pylori is appropriately treated, then effects should be reversible.

4) As long as the H Pylori is appropriately treated, then the cancer risk should also decrease.

5) If there is inflammation, then close followup with a repeat endoscopy is reasonable.  After treatment with antibiotics, a breath test is used to demonstrate eradication.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

[Bweeks]

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