
Controlling Gastric Cancer in a World of Heterogeneous Risk.
Gastric cancer (GC) is a leading cause of global mortality but also a cancer whose footprint is highly unequal. This review aims to define global disease epidemiology, critically appraise strategies of prevention and disease attenuation, and assess how these strategies could be applied to improve outcomes from GC in a world of variable risk and disease burden. Strategies of primary prevention focus on improving the detection and eradication of the main environmental risk factor, Helicobacter pylori. In certain countries of high incidence, endoscopic or radiographic screening of the asymptomatic general population has been adopted as a means of secondary prevention. By contrast, identification and targeted surveillance of individuals with precancerous lesions (such as intestinal metaplasia) is being increasingly embraced in nations of low incidence. This review also highlights existing knowledge gaps in GC prevention as well as the role of emerging technologies for early detection and risk stratification.
Duke Scholars
Altmetric Attention Stats
Dimensions Citation Stats
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Stomach Neoplasms
- Risk Factors
- Precancerous Conditions
- Metaplasia
- Incidence
- Humans
- Helicobacter pylori
- Helicobacter Infections
- Gastroenterology & Hepatology
- Gastric Mucosa
Citation

Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Stomach Neoplasms
- Risk Factors
- Precancerous Conditions
- Metaplasia
- Incidence
- Humans
- Helicobacter pylori
- Helicobacter Infections
- Gastroenterology & Hepatology
- Gastric Mucosa