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Gut 2008;57:1-2
Copyright © 2008 BMJ Publishing Group Ltd & British Society of Gastroenterology.

Digest

Digest

Robin Spiller, editor, Magnus Simren, deputy editor

The first 150 words of the full text of this article appear below.

TWO DISTINCT AETIOLOGIES OF CARDIA CANCER

Although atrophic gastritis is a well recognised risk factor for non-cardia gastric cancer and gastro-oesophageal reflux disease (GORD) for oesophageal adenocarcinoma, the roles of atrophic gastritis and GORD in the aetiology of adenocarcinoma of the cardia is less clear. In this case–control study, Derakhshan et al evaluated risk factors for upper gastrointestinal adenocarcinoma. Non-cardia cancer was associated with atrophic gastritis but not with GORD symptoms, whereas the opposite was true for oesophageal adenocarcinoma. Cardia cancer was positively associated with both severe gastric atrophy and with frequent GORD symptoms, although the latter was only apparent in the non-atrophic subgroup and in the intestinal subtype. The association of cardia cancer with atrophy was stronger for the diffuse versus intestinal subtype and this was the converse of the association observed with non-cardia cancer. Based on their findings, the authors suggest there seem to be two distinct aetiologies of cardia cancer and propose that . . . [Full text of this article]


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