Table 1.
Precancerous Conditions | Timing of Endoscopic Follow-Up | Statement |
---|---|---|
Intestinal metaplasia limited to the gastric antrum or body | Every 3 years | Endoscopic surveillance with EGDS at least every 3 years must be considered mainly for patients with familial gastric neoplasia, autoimmune gastritis, or non-eradication of H. pylori infection. |
Chronic atrophic gastritis and/or diffuse intestinal metaplasia. | Every 1–2 years | Scheduled endoscopic follow-up with controls 1–2 years is recommended. |
Gastric dysplasia | Within 6 months for high-grade dysplasia and within 1 year for low-grade dysplasia. | In patients with dysplasia without suspicious lesions, first, an endoscopic evaluation at a third-level center should be performed, and possibly a review by expert pathologists to confirm the previous diagnosis and guide endoscopic follow-up. In the absence of evident lesions, even at the subsequent endoscopic evaluation, a new EGDS must be performed within 6 months for high-grade dysplasia and within 1 year for low-grade dysplasia. |
EGDS, esophagogastroduodenoscopy.