Gastric Intestinal Metaplasia (GIM)

 • GIM is a precancerous, histopathologic change characterized by replacement of normal gastric oxyntic or antral mucosa by intestinal epithelium in response to chronic gastric inflammation

 • The most common trigger is chronic Helicobacter pylori (H pylori) gastritis

Clinical decision algorithm for GIM management

Endoscopic surveillance exam



Shailja Shah, MD MPH @ShailjaShahMD



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