Guideline on Diagnosis and Management of Precursors and Early Stages of Gastric Adenocarcinoma

New evidence-based recommendations for care of patients at risk for gastric adenocarcinoma

Sponsoring Organization: British Society of Gastroenterology

Background and Objective

A multidisciplinary committee conducted a systematic literature review and developed evidence-based recommendations on diagnosis and management of patients with gastric intestinal metaplasia (GIM), atrophic gastritis (AG), gastric dysplasia, or early adenocarcinoma.

Key Recommendations

Diagnosis

In patients with AG or GIM, perform a full systematic endoscopic stomach examination (for a minimum of 7 minutes) with clear photographic documentation of gastric regions and any pathology.
For highest accuracy in diagnosis of GIM, AG, and early neoplastic lesions, use high-definition endoscopy with image-enhanced endoscopy (IEE) and magnification endoscopy (if available…

Reviewing Author

John R. Saltzman, MD

Disclosures

Consultant/Advisory BoardIterative Scopes

Editorial BoardsGastrointestinal Endoscopy; UpToDate

Leadership Positions in Professional SocietiesAmerican College of Gastroenterology (Trustee)

OtherVice President of Medical Affairs, 1Globe Health Institute