Is it necessary to monitor intestinal metaplasia and dysplasia in the stomach?

被引：0
作者：
Lamarque, D. [1 ]
机构：
[1] Hop Ambroise Pare, F-92104 Boulogne, France
来源：
ACTA ENDOSCOPICA | 2012年 / 42卷 / 05期
关键词：
Stomach; Pre-cancerous lesions; Glandular atrophy; Intestinal metaplasia; Follow-up; HELICOBACTER-PYLORI ERADICATION; PREMALIGNANT GASTRIC-LESIONS; RANDOMIZED CONTROLLED-TRIAL; ATROPHIC GASTRITIS; FOLLOW-UP; RISK-FACTORS; 1ST-DEGREE RELATIVES; CANCER PATIENTS; SYDNEY SYSTEM; DOUBLE-BLIND;
D O I：
10.1007/s10190-012-0281-1
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The majority of stomach cancers are the result of preneoplastic lesions that have appeared several years previously. This damage is in the form of atrophy and intestinal metaplasia of the gastric mucosa caused by a prior infection due to Helicobacter pylori. Atrophy to the body of the stomach associated with intestinal metaplasia is an identified cancer risk factor. There is a beneficial effect of eradicating H. pylori seen in the evolution of this preneoplastic damage that has yet to reach the intestinal metaplasia stage. A follow-up every three years is recommended, especially for patients who have extensive or severe damage to the body of the stomach and pyloric antrum, regardless of the localisation. In cases of low grade dysplasia discovered at staging biopsies, annual follow-ups are recommended.
引用
收藏
页码：257 / 260
页数：4
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