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Prevention of Gastric Cancer: Eradication of Helicobacter Pylori and Beyond
Ist Teil von
International journal of molecular sciences, 2017-08, Vol.18 (8), p.1699
Ort / Verlag
Switzerland: MDPI AG
Erscheinungsjahr
2017
Quelle
MEDLINE
Beschreibungen/Notizen
Although its prevalence is declining, gastric cancer remains a significant public health issue. The bacterium
is known to colonize the human stomach and induce chronic atrophic gastritis, intestinal metaplasia, and gastric cancer. Results using a Mongolian gerbil model revealed that
infection increased the incidence of carcinogen-induced adenocarcinoma, whereas curative treatment of
significantly lowered cancer incidence. Furthermore, some epidemiological studies have shown that eradication of
reduces the development of metachronous cancer in humans. However, other reports have warned that human cases of atrophic metaplastic gastritis are already at risk for gastric cancer development, even after eradication of these bacteria. In this article, we discuss the effectiveness of
eradication and the morphological changes that occur in gastric dysplasia/cancer lesions. We further assess the control of gastric cancer using various chemopreventive agents.