Academy of Medicine, Singapore clinical guideline on endoscopic surveillance and management of gastric premalignant lesions.
10.47102/annals-acadmedsg.2021433
- Author:
Vikneswaran NAMASIVAYAM
1
;
Calvin J KOH
;
Stephen TSAO
;
Jonathan LEE
;
Khoon Lin LING
;
Christopher KHOR
;
Tony LIM
;
James Weiquan LI
;
Aung Myint OO
;
Benjamin C H YIP
;
Ikram HUSSAIN
;
Tju Siang CHUA
;
Bin Chet TOH
;
Hock Soo ONG
;
Lai Mun WANG
;
Jimmy B Y SO
;
Ming THE
;
Khay Guan YEOH
;
Tiing Leong ANG
Author Information
1. Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
- Publication Type:Journal Article
- MeSH:
Adenomatous Polyps;
Endoscopy;
Humans;
Precancerous Conditions/therapy*;
Singapore;
Stomach Neoplasms/therapy*
- From:Annals of the Academy of Medicine, Singapore
2022;51(7):417-435
- CountrySingapore
- Language:English
-
Abstract:
Gastric cancer (GC) has a good prognosis, if detected at an early stage. The intestinal subtype of GC follows a stepwise progression to carcinoma, which is treatable with early detection and intervention using high-quality endoscopy. Premalignant lesions and gastric epithelial polyps are commonly encountered in clinical practice. Surveillance of patients with premalignant gastric lesions may aid in early diagnosis of GC, and thus improve chances of survival. An expert professional workgroup was formed to summarise the current evidence and provide recommendations on the management of patients with gastric premalignant lesions in Singapore. Twenty-five recommendations were made to address screening and surveillance, strategies for detection and management of gastric premalignant lesions, management of gastric epithelial polyps, and pathological reporting of gastric premalignant lesions.
