Gastric Intestinal Metaplasia in Children and Adolescents Is Reversible upon Reaching Adulthood—Results from a Long-Term Cohort Study Article Swipe
Jan Drnovšek
,
Nina Zidar
,
Jera Jeruc
,
Lojze Šmid
,
Gaj Vidmar
,
Borut Štabuc
,
Matjaž Homan
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/cancers17010128
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/cancers17010128
Background/Objectives: Gastric intestinal metaplasia (GIM) is considered an irreversible preneoplastic precursor for gastric adenocarcinoma in adults. However, its significance in children and the long-term outcome remain poorly understood. Methods: All children diagnosed with GIM between 2000 and 2020 were identified at a large tertiary referral centre. Upon reaching adulthood (≥18 years), the patients were invited to undergo follow-up esophagogastroduodenoscopy (using narrow-band imaging additionally to high-definition white light endoscopy), with gastric biopsies obtained according to the updated Sydney protocol. Childhood and adulthood gastric biopsies were re-evaluated by two experienced gastrointestinal pathologists using Kreyberg staining. Results: Paediatric GIM was diagnosed in 178/14,409 (1.2%) esophagogastroduodenoscopies performed during the study period. Fifty adult patients with childhood GIM agreed to participate in the study. The mean age at childhood and adulthood endoscopies were 14.3 years (median 15) and 25.2 years (median 24), respectively. The mean follow-up interval was 10.5 years. All childhood GIM cases were classified as complete-type. Notably, GIM completely resolved in 41/50 of patients (82%) by the time of adulthood follow-up. No dysplasia or carcinoma was detected in any patient. Childhood Helicobacter pylori infection, similar to other evaluated host-related factors, was not significantly associated with the persistence of GIM into adulthood (11.2% vs. 29.3%, p = 0.41). Conclusions: Childhood GIM was a rare finding but demonstrated a high rate of reversibility by adulthood regardless of Helicobacter pylori status, with no cases of dysplasia or carcinoma observed during long-term follow-up.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/cancers17010128
- OA Status
- gold
- Cited By
- 5
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406034927
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4406034927Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/cancers17010128Digital Object Identifier
- Title
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Gastric Intestinal Metaplasia in Children and Adolescents Is Reversible upon Reaching Adulthood—Results from a Long-Term Cohort StudyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-01-03Full publication date if available
- Authors
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Jan Drnovšek, Nina Zidar, Jera Jeruc, Lojze Šmid, Gaj Vidmar, Borut Štabuc, Matjaž HomanList of authors in order
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https://doi.org/10.3390/cancers17010128Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.3390/cancers17010128Direct OA link when available
- Concepts
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Medicine, Intestinal metaplasia, Dysplasia, Esophagogastroduodenoscopy, Gastroenterology, Helicobacter pylori, Internal medicine, Young adult, Cohort, Cancer, Pediatrics, EndoscopyTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
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2025: 5Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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