title: [Surveillance of patients with gastric intestinal metaplasia and dysplasia].
abstract: The position paper recommends specific guidelines for surveillance of patients with atrophic gastritis, gastric intestinal metaplasia and dysplasia. Although gastric atrophy and intestinal metaplasia are recognized as premalignant conditions, there is insufficient data to recommend routine endoscopic surveillance. However, when endoscopy is performed, it should include topographic mapping for biopsies of the entire stomach, particularly the lesser curvature. Patients with confirmed high grade dysplasia should be considered for gastrectomy or local endoscopic resection because of high probability for development of adenocarcinoma.
authors.affiliation: The Section of Gastrointestinal Oncology, the Israeli Gastroenterology Association. yniv@clalit.org.il
authors.forename: Alexander
authors.initials: A
authors.lastname: Vilkin
authors.forename: Betsi
authors.initials: B
authors.lastname: Half
authors.forename: Menachem
authors.initials: M
authors.lastname: Moshkowitz
authors.forename: Revital
authors.initials: R
authors.lastname: Kariv
authors.forename: Zohar
authors.initials: Z
authors.lastname: Levi
mesh_terms: D000230:Adenocarcinoma / Q000517:prevention & control; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005743:Gastrectomy / Q000379:methods; D005757:Gastritis, Atrophic / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D005767:Gastrointestinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008679:Metaplasia / Q000175:diagnosis; D017410:Practice Guidelines as Topic; D011230:Precancerous Conditions / Q000175:diagnosis / Q000473:pathology