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Despite declining incidence rates, gastric cancer (GC) ranks the fourth leading cause of cancer-related mortality and the fifth most common cancer worldwide, with the highest incidence reported in Eastern Asia. The 5-year overall survival rate of early GC exceeds 90%, which was well above advanced GC. Most intestinal-type GCs follow the Correa cascade-inflammation,atrophy, intestinal metaplasia (IM), dysplasia and subsequent carcinoma. The presence of gastric mucosal atrophy and intestinal metaplasia are important risk factors for GC. The purpose of this study was to investigate the incidence of GC attributed to atrophic gastritis in a region with high incidence of GC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OLGA 0-I |
| ||
| OLGA II |
| ||
| OLGA III-IV |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Esophagogastroscopy (OLGA 0-â… ) | Other | Surveillance endoscopies at years 3-5. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| early gastric neoplasm | histological diagnosis of high-grade dysplasia, and adenocarcinoma. | After the baseline endoscopy, participants were scheduled for surveillance endoscopies at years 3-5 for subjects with operative link on gastritis assessment (OLGA) 0-â… , at years 2-3 for subjects with OLGA II and 1 year for subjects with OLGA III-IV. |
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Inclusion Criteria:
Exclusion Criteria:
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Chronic gastritis diagnosed by routine endoscopic screening
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renji Hospital, School of Medicine, Shanghai Jiao Tong University | Recruiting | Shanghai | Shanghai Municipality | 200127 | China |
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| ID | Term |
|---|---|
| D005757 | Gastritis, Atrophic |
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D005756 | Gastritis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| Esophagogastroscopy (OLGA II) |
| Other |
Surveillance endoscopies at years 2-3. |
|
| Esophagogastroscopy (OLGA III-IV) | Other | Surveillance endoscopies every year. |
|
| D013272 |
| Stomach Diseases |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |