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Updated: Jun 2, 2026

Establishment and Evaluation of a Risk Prediction Model for Pathological Escalation of Gastric Low-Grade Intraepithelial Neoplasia
Published on: February 16, 2024
[Surveillance of patients with gastric intestinal metaplasia and dysplasia]
Alexander Vilkin1, Betsi Half, Menachem Moshkowitz
1The Section of Gastrointestinal Oncology, the Israeli Gastroenterology Association. yniv@clalit.org.il
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.
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