Q. A 35-year-old female presents to your clinic with a complaint of abdominal pain for the past two weeks. She reports that the pain is located in the upper middle part of her abdomen and is accompanied by nausea and bloating. She also reports that she has been under a lot of stress lately.
Physical examination reveals a tender abdomen and no other significant findings. Further laboratory tests show normal liver function tests and normal blood cell counts. You order an upper endoscopy, which shows redness and swelling in her stomach lining. A biopsy of the stomach lining is taken during the endoscopy (see image), which shows histological changes. Further testing for the presence of H. pylori is performed, and the results are positive. The patient is treated with a course of antibiotics to eradicate the H. pylori infection and is also advised to make lifestyle changes such as reducing stress, eating a healthy diet, and avoiding foods that seem to worsen her symptoms. After two weeks of treatment, the patient reports improvement in her symptoms and a follow-up endoscopy shows improvement in the appearance of the stomach lining. The patient is advised to continue with her lifestyle changes and to return for follow-up if her symptoms worsen.
Which one of the following statements regarding the most likely diagnosis is NOT true?