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gastric-intestinal metaplasia
Laboratory:
- Helicobacter antigen in stool [1]
Special laboratory:
- surveillance with upper gastrointestinal endoscopy [2]
Complications:
- 10-fold increased risk of gastric cancer [2]
- risk factors:
- Helicobacter pylori infection
- Epstein-Barr virus infection
- high salt intake
- tobacco
- Asian, African-American, Hispanic
Management:
- treat Helicobacter pylori [1]
General
metaplasia
References
- Gupta S, Li D, El Serag HB.
AGA Clinical Practice Guidelines on Management of Gastric Intestinal Metaplasia.
Gastroenterology (2020),
PMID: 31816298
https://www.gastrojournal.org/article/S0016-5085(19)41888-X/pdf
- Medical Knowledge Self Assessment Program (MKSAP) 19.
American College of Physicians, Philadelphia 2021