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• W3164713464 endingPage "86" @default.
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• W3164713464 abstract "This positioning document, sponsored by the Asociación Española de Gastroenterología (Spanish Association of Gastroenterology), the Sociedad Española de Endoscopia Digestiva (Spanish Society of Digestive Endoscopy) and the Sociedad Española de Anatomía Patológica (Spanish Society of Pathology), aims to establish recommendations for the screening of gastric cancer (GC) in low incidence populations, such as the Spanish. To establish the quality of the evidence and the levels of recommendation, we used the methodology based on the GRADE system (Grading of Recommendations Assessment, Development and Evaluation). We obtained a consensus among experts using a Delphi method. The document evaluates screening in the general population, individuals with relatives with GC and subjects with GC precursor lesions (GCPL). The goal of the interventions should be to reduce GC-related mortality. We recommend the use of the OLGIM classification and to determine the intestinal metaplasia (IM) subtype in the evaluation of GCPL. We do not recommend establishing endoscopic mass screening for GC or H. pylori. However, the document strongly recommends treating H. pylori if the infection is detected, and investigation and treatment in individuals with a family history of GC or with GCPL. Meanwhile, we recommend against the use of serological tests to detect GCPL. Endoscopic screening is suggested only in individuals that meet familial GC criteria. As for individuals with GCPL, endoscopic surveillance is only suggested in extensive IM associated with additional risk factors (incomplete IM and/or a family history of GC), after resection of dysplastic lesions or in patients with dysplasia without visible lesion after a high-quality gastroscopy with chromoendoscopy. Este documento de posicionamiento, auspiciado por la Asociación Española de Gastroenterología, la Sociedad Española de Endoscopia Digestiva y la Sociedad Española de Anatomía Patológica tiene como objetivo establecer recomendaciones para el cribado del cáncer gástrico (CG) en poblaciones con incidencia baja, como la española. Para establecer la calidad de la evidencia y los niveles de recomendación se ha utilizado la metodología basada en el sistema GRADE (Grading of Recommendations Assessment, Development and Evaluation). Se obtuvo el consenso entre expertos mediante un método Delphi. El documento evalúa el cribado en población general, individuos con familiares con CG y lesiones precursoras de CG (LPCG). El objetivo de las intervenciones debe ser la reducción de la mortalidad por CG. Se recomienda el uso de la clasificación OLGIM y determinar el subtipo de metaplasia intestinal (MI) para evaluar las LPCG. No se recomienda establecer cribado poblacional endoscópico de CG ni de H. pylori. Sin embargo, el documento establece una recomendación fuerte para el tratamiento de H. pylori sí se detecta la infección, y su investigación y tratamiento en individuos con antecedentes familiares de CG o con LPCG. En cambio, no se recomienda el uso de tests serológicos para detectar LPCG. Se sugiere cribado endoscópico únicamente en los individuos con criterios de CG familiar. En cuanto a los individuos con LPCG sólo se sugiere vigilancia endoscópica ante MI extensa asociada a algún factor de riesgo adicional (MI incompleta y/o antecedentes familiares de CG), tras la resección de lesiones displásicas o en pacientes con displasia sin lesión visible tras una endoscopia digestiva alta de calidad con cromoendoscopia." @default.
• W3164713464 created "2021-06-07" @default.
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• W3164713464 date "2021-01-01" @default.
• W3164713464 modified "2023-10-18" @default.
• W3164713464 title "Gastric cancer screening in low incidence populations: Position statement of AEG, SEED and SEAP" @default.
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