2019
DOI: 10.1136/gutjnl-2018-318126
|View full text |Cite
|
Sign up to set email alerts
|

British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma

Abstract: Gastric adenocarcinoma carries a poor prognosis, in part due to the late stage of diagnosis. Risk factors include Helicobacter pylori infection, family history of gastric cancer—in particular, hereditary diffuse gastric cancer and pernicious anaemia. The stages in the progression to cancer include chronic gastritis, gastric atrophy (GA), gastric intestinal metaplasia (GIM) and dysplasia. The key to early detection of cancer and improved survival is to non-invasively identify those at risk before endoscopy. How… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

8
433
2
19

Year Published

2019
2019
2024
2024

Publication Types

Select...
8
1

Relationship

0
9

Authors

Journals

citations
Cited by 435 publications
(462 citation statements)
references
References 287 publications
(228 reference statements)
8
433
2
19
Order By: Relevance
“…With progression of mucosal atrophy, irregular CVs become visible. 24 The field of IEE continues to progress rapidly. i-scan with optical enhancement applies digital image processing algorithms, by an optical filter which provides peak luminescence at the peaks of the hemoglobin absorption spectrum.…”
Section: Discussionmentioning
confidence: 99%
“…With progression of mucosal atrophy, irregular CVs become visible. 24 The field of IEE continues to progress rapidly. i-scan with optical enhancement applies digital image processing algorithms, by an optical filter which provides peak luminescence at the peaks of the hemoglobin absorption spectrum.…”
Section: Discussionmentioning
confidence: 99%
“…Gastric precancerous lesions, that is, atrophic gastritis and IM, are associated with an increased risk of GC [47] and their surveillance appears as a logical strategy to prevent advanced GC. Indeed, several international guidelines on the management of these lesions have been recently published [48][49][50][51]. Most of these guidelines, except for AGA guidelines, recommend systematic surveillance of severe and extensive, pangastric, atrophy or IM, as evaluated by the operative link on gastritis assessment or operative link on gastric IM) scores, but the indication of surveillance of antrum-limited lesions appears less clear, depending on patient's characteristics and specific characteristics of the lesions (like the type of IM, complete or incomplete, etc.)…”
Section: Diagnosis and Preventionmentioning
confidence: 99%
“…Sufficient stomach extension by insufflation in upper gastrointestinal endoscopy and treatment is essential in finding lesions and securing sufficient field of view necessary for treatment by endoscopy. In particular, while viewing the greater curvature of the upper gastric body, it is not possible to observe spaces between folds unless there is sufficient air supply . However, in cases where lower esophagus sphincter contraction is weak, frequent eructation does not allow sufficient gastric wall extension by insufflation.…”
Section: Brief Explanationmentioning
confidence: 99%
“…In particular, while viewing the greater curvature of the upper gastric body, it is not possible to observe spaces between folds unless there is sufficient air supply. 3 However, in cases where lower esophagus sphincter contraction is weak, frequent eructation does not allow sufficient gastric wall extension by insufflation. Lesions may be overlooked and securing the necessary visual field for treatment may be difficult.…”
Section: Toshiki Horii Hisatomo Ikehara and Chika Kusanomentioning
confidence: 99%