Diagnostics
Figure 3.
expression in gastrointestinal epithelial cells in inflammatory bowel disease. Gastroenterology 104, 12–20 (1993).
4. Parkin, D. M., Bray, F., Ferlay, J. & Pisani, P. Global Cancer Statistics, 2002. CA Cancer J Clin 55, 74–108 (2005).
5. Massarrat, S. & Stolte, M. Development of gastric cancer and its prevention. Arch Iran Med 17, 514–20 (2014).
low survival rates. However, there is a significant potential to identify this disease much earlier by looking at specific biomarkers – such as pepsinogen I, pepsinogen II, gastrin-17 and anti-H. pylori antibodies – using GastroPanel. Abnormal levels of these biomarkers, particularly a low pepsinogen I/II ratio, can indicate the presence of severe atrophic gastritis, which is a precursor to gastric cancer. Early identification through GastroPanel enables healthcare providers to initiate appropriate monitoring strategies, such as targeted surveillance with endoscopy and biopsies, and to implement lifestyle modifications or therapeutic interventions to manage the condition effectively. This proactive approach supports better patient outcomes by addressing risks early and guiding personalised management plans.
CSJ
References 1. Stomach cancer statistics. Cancer Research UK. 2. Jemal, A. et al. Global cancer statistics. CA Cancer J Clin 61, 69–90 (2011).
3. Wright, N. A. et al. Trefoil peptide gene
6. Lin, S.-H., Li, Y.-H., Leung, K., Huang, C.-Y. & Wang, X.-R. Salt Processed Food and Gastric Cancer in a Chinese Population. Asian Pacific Journal of Cancer Prevention 15, 5293–5298 (2014).
7. Buckland, G. et al. Healthy lifestyle index and risk of gastric adenocarcinoma in the EPIC cohort study. Int J Cancer 137, 598–606 (2015).
8. Boltin, D. & Niv, Y. Pharmacological and alimentary alteration of the gastric barrier. Best Pract Res Clin Gastroenterol 28, 981–994 (2014).
9. Huang, R. J. & Hwang, J. H. Improving the Early Diagnosis of Gastric Cancer. Gastrointest Endosc Clin N Am 31, 503–517 (2021).
10. Sitarz, R. et al. Gastric cancer: epidemiology, prevention, classification, and treatment. Cancer Manag Res 10, 239–248 (2018).
11. Banks, M. et al. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma Gut 68,1545–1575 (2019).
12. Rugge, M. et al. OLGA Gastritis Staging for the Prediction of Gastric Cancer Risk: A Long-term Follow-up Study of 7436 Patients. American Journal of Gastroenterology 113, 1621–1628 (2018).
13. Rugge, M. et al. OLGA staging for gastritis: A tutorial. Digestive and Liver Disease 40, 650–658 (2008).
14. Fisher, L., Fisher, A. & Smith, P. N. Helicobacter pylori Related Diseases and Osteoporotic Fractures (Narrative Review). J Clin Med 9, 3253 (2020).
About the author
Dr. Cinzia Papadia, MD, FRCP, is a Consultant Gastroenterologist & Honorary Senior Lecturer, at Barts Health Trust, Queen Mary University of London. She is an accredited Bowel Cancer Screening Endoscopist for North East London; a Fellow of the Royal College of Physician and Royal Society of Medicine, London; and a Member of the BSG Clinical Research Group, Food and Function. Her specific research interest is in novel clinical biomarkers of GI disease, with 940 research citations.
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