Management of precancerous conditions and lesions in the stomach (MAPS): guideline from the European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter Study Group (EHSG), European Society of Pathology (ESP), and the Sociedade Portuguesa de Endoscopia Digestiva (SPED)

被引：508

作者：

Dinis-Ribeiro, M. ^{[1
,5
]}

Areia, M. ^{[2
,5
]}

de Vries, A. C. ^{[3
]}

Marcos-Pinto, R. ^{[4
,6
]}

Monteiro-Soares, M. ^{[5
]}

O'Connor, A. ^{[7
]}

Pereira, C. ^{[8
]}

Pimentel-Nunes, P. ^{[1
]}

Correia, R. ^{[5
]}

Ensari, A. ^{[9
]}

Dumonceau, J. M. ^{[10
]}

Machado, J. C. ^{[11
]}

Macedo, G. ^{[12
]}

Malfertheiner, P. ^{[13
]}

Matysiak-Budnik, T. ^{[14
]}

Megraud, F. ^{[15
,16
]}

Miki, K. ^{[17
]}

O'Morain, C. ^{[7
]}

Peek, R. M. ^{[18
]}

Ponchon, T. ^{[19
]}

Ristimaki, A. ^{[20
,21
,22
]}

Rembacken, B. ^{[23
]}

Carneiro, F. ^{[11
,24
]}

Kuipers, E. J. ^{[3
]}

机构：

[1] Portuguese Oncol Inst Porto, Dept Gastroenterol, P-4200072 Oporto, Portugal

[2] Portuguese Oncol Inst Coimbra, Dept Gastroenterol, Coimbra, Portugal

[3] Erasmus MC, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands

[4] Ctr Hosp Porto, Dept Gastroenterol, Oporto, Portugal

[5] Ctr Res Hlth Technol & Informat Syst CINTESIS, Fac Med, Oporto, Portugal

[6] Univ Porto ICBAS UP, Inst Biomed Sci, Oporto, Portugal

[7] Adelaide & Meath Hospital Trinity Coll, AMNCH TCD, Dept Gastroenterol, Dublin, Ireland

[8] Portuguese Oncol Inst Porto, Mol Oncol Res Grp, P-4200072 Oporto, Portugal

[9] Ankara Univ, Dept Pathol, Sch Med, TR-06100 Ankara, Turkey

[10] HUG Hop Cantonal, Dept Gastroenterol & Hepatopancreatol, Geneva, Switzerland

[11] Univ Porto IPATIMUP, Inst Mol Pathol & Immunol, Oporto, Portugal

[12] Ctr Hosp S Joao, Fac Med, Dept Gastroenterol, Oporto, Portugal

[13] Univ Magdeburg, Klin Gasroenterol Hepatol & Infektol, D-39106 Magdeburg, Germany

[14] CHU Nantes, Serv Hepatogastroenterol, Hotel Dieu, F-44035 Nantes 01, France

[15] INSERM, U853, Bordeaux, France

[16] Univ Bordeaux, Bacteriol Lab, Bordeaux, France

[17] Japan Res Fdn Predict Diag & Therapy Gastr Canc J, Tokyo, Japan

[18] Vanderbilt Univ, Sch Med, Div Gastroenterol, Nashville, TN 37212 USA

[19] Hop Edouard Herriot, Dept Digest Dis, Lyon, France

[20] Univ Helsinki, Cent Hosp, Dept Pathol, HUSLAB, Helsinki, Finland

[21] Univ Helsinki, Cent Hosp, Haartman Inst, Helsinki, Finland

[22] Univ Helsinki, Res Program Unit, Helsinki, Finland

[23] Gen Infirm, Ctr Digest Dis, Leeds LS1 3EX, W Yorkshire, England

[24] Ctr Hosp S Joao, Dept Pathol, Fac Med, Oporto, Portugal

来源：

ENDOSCOPY | 2012年 / 44卷 / 01期

关键词：

GASTRIC INTESTINAL METAPLASIA; SERUM PEPSINOGEN-I; CHRONIC ATROPHIC GASTRITIS; RANDOMIZED CONTROLLED-TRIAL; TERM-FOLLOW-UP; COST-EFFECTIVENESS ANALYSIS; HIGH-RISK POPULATION; CYTOKINE GENE POLYMORPHISMS; PYLORI-RELATED GASTRITIS; PEUTZ-JEGHERS-SYNDROME;

D O I：

10.1055/s-0031-1291491

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Atrophic gastritis, intestinal metaplasia, and epithelial dysplasia of the stomach are common and are associated with an increased risk for gastric cancer. In the absence of guidelines, there is wide disparity in the management of patients with these premalignant conditions. The European Society of Gastrointestinal Endoscopy (ESGE), the European Helicobacter Study Group (EHSG), the European Society of Pathology (ESP) and the Sociedade Portuguesa de Endoscopia Digestiva (SPED) have therefore combined efforts to develop evidence-based guidelines on the management of patients with precancerous conditions and lesions of the stomach (termed MAPS). A multidisciplinary group of 63 experts from 24 countries developed these recommendations by means of repeat online voting and a meeting in June 2011 in Porto, Portugal. The recommendations emphasize the increased cancer risk in patients with gastric atrophy and metaplasia, and the need for adequate staging in the case of high grade dysplasia, and they focus on treatment and surveillance indications and methods.

引用

页码：74 / 94

页数：21

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