alcian-blue and Intestinal-Diseases

The purpose of this study was to evaluate the role of the mixture of carbol fuchsin and alcian blue stain in the diagnosis of Helicobacter pylori (HP) and goblet cell intestinal metaplasia (IM) in comparison to the more commonly used Giemsa and hematoxylin and eosin (H&E) stains. Pathological blocks of gastric tissues obtained from January 2006 to December 2007 were recut and processed for Giemsa and a mixture of carbol fuchsin and alcian blue stains. Clinical data regarding the patients were collected and previous slides stain with H&E from gastric tissues were reviewed. The Giemsa and the mixture of carbol fuchsin and alcian blue stains were studied by a pathologist who was blinded to the pathological and clinical data. Direct comparisons were made between the stains for diagnosis of HP. Of 423 cases studied the concordance rate was 97.8% (kappa value=0.947, p< 0.05). Using the mixture of carbol fuchsin and alcian blue stain, 4.3 % of goblet cell IM which were not detected by H&E stain were additionally identified. The prevalences of HP infection diagnosed by Giemsa, the mixture of carbol fuchsin and alcian blue, and H&E stains were 72.1%, 72.3%, and 71%, respectively. In conclusion, the mixture of carbol fuchsin and alcian blue stain can be used in place of Giemsa stain for the identification of HP, and is probably preferable because of its low cost and is less time-consuming. Carbol fuchsin and alcian blue which are commonly available dyes are more beneficial than Giemsa stain and aid in identifing goblet cell IM undiagnosed by conventional H&E stain.

Topics: Adolescent; Adult; Aged; Aged, 80 and over; Alcian Blue; Biopsy; Female; Goblet Cells; Helicobacter Infections; Helicobacter pylori; Humans; Intestinal Diseases; Male; Metaplasia; Middle Aged; Rosaniline Dyes; Staining and Labeling

Fragments of ileum from 663 pigs were collected in abattoirs, prepared with the use of standard histological methods and stained with a novel sensitive histochemical method for the detection of porcine proliferative enteropathy. The method is a combination of the following 3 well-known methods, the Warthin-Starry method, alcian blue and hematoxylin-eosin. In 11 cases, mucus-producing cells were completely absent, severe adenomatous proliferation was observed and intracellular bacteria were found in enterocytes. Disappearance of goblet cells and the presence of adenomatous proliferation without any detectable intracellular bacteria were observed in 16 cases. In the remaining 636 cases, histological changes and intracellular bacteria were not found. When comparing the conventional Warthin-Starry method with the modified staining method presented here, the same 16 cases were found. However, the method presented here enables examination of large numbers of sections in a relatively short period of time.

Topics: Alcian Blue; Animals; Cell Division; Coloring Agents; Eosine Yellowish-(YS); Gram-Negative Bacterial Infections; Hematoxylin; Ileum; Immunohistochemistry; Intestinal Diseases; Intestinal Mucosa; Lawsonia Bacteria; Silver Staining; Swine; Swine Diseases; Time Factors