Update on the Diagnosis and Management of Gastric Intestinal Metaplasia in the USA

被引：22
作者：
Trieu, Judy A. [1 ]
Bilal, Mohammad [2 ]
Saraireh, Hamzeh [3 ]
Wang, Andrew Y. [4 ]
机构：
[1] Univ Texas Med Branch, Dept Internal Med, 301 Univ Blvd, Galveston, TX 77555 USA
[2] Univ Texas Med Branch, Div Gastroenterol & Hepatol, 301 Univ Blvd, Galveston, TX 77555 USA
[3] Virginia Commonwealth Univ, Div Gastroenterol Hepatol & Nutr, 1200 East Broad St,POB 98034, Richmond, VA 23298 USA
[4] Univ Virginia, Div Gastroenterol & Hepatol, POB 800708, Charlottesville, VA 22908 USA
来源：
DIGESTIVE DISEASES AND SCIENCES | 2019年 / 64卷 / 05期
关键词：
Gastric intestinal metaplasia; Helicobacter pylori; Early gastric cancer; Gastric adenocarcinoma; ENDOSCOPIC SUBMUCOSAL DISSECTION; HELICOBACTER-PYLORI INFECTION; CHRONIC ATROPHIC GASTRITIS; SERUM PEPSINOGEN-I; RISK-FACTORS; PRENEOPLASTIC LESIONS; PRECANCEROUS LESIONS; 1ST-DEGREE RELATIVES; GENERAL-POPULATION; FOLLOW-UP;
D O I：
10.1007/s10620-019-05526-5
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Gastric intestinal metaplasia (GIM) is a premalignant condition that can lead to intestinal-type gastric adenocarcinoma. It is characterized by a change in the gastric mucosa to a small-intestinal phenotype. Infection with Helicobacter pylori is the most common factor associated with GIM. Although GIM is typically a histologic diagnosis, various techniques have been developed to enable the endoscopic identification of GIM. There are presently no widely accepted guidelines on screening and surveillance strategies in patients with GIM in the USA. The aim of this review is to provide an update regarding the problem, diagnosis, and management of GIM in the USA.
引用
收藏
页码：1079 / 1088
页数：10
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