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Endoscopic stratification of gastric intestinal metaplasia: where are we, where do we want to go and how do we get there?
  1. Shailja C Shah1,2,
  2. Mario Dinis-Ribeiro3,4
  1. 1University of California San Diego, La Jolla, California, USA
  2. 2Jennifer Moreno Veterans Affairs San Diego Healthcare System, San Diego
  3. 3Porto Comprehensive Cancer Center & RISE @ CI-IPO, University of Porto, Porto, Portugal
  4. 4Gastroenterology Department, Portuguese Institute of Oncology of Porto, Porto, Portugal
  1. Correspondence to Dr Shailja C Shah; s6shah{at}health.ucsd.edu

https://doi.org/10.1136/gutjnl-2024-333977

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    We appreciate the positive remarks from Quach and colleagues in response to our manuscript.1 2 The authors propose that endoscopic staging should replace non-targeted mapping biopsies in individuals at increased risk of harbouring gastric intestinal metaplasia (GIM), citing that endoscopic staging using the endoscopic grading of GIM (EGGIM) score (1) is a more resource-sensitive approach; (2) avoids the small added risk of biopsies; (3) can be performed effectively among adequately trained endoscopists; and (4) correlates with histological severity as measured via the operative link on gastric intestinal metaplasia assessment (OLGIM), at least based on a multicentre European study among trained endoscopists and external validation in a single-centre study from South Korea.3 4 Overall, we are conceptually aligned with the authors on these points.

    However, the theme of our article was a …

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    Footnotes

    • Contributors SS is the guarantor of this article. SS wrote the first draft. SS and MD-R edited and approved the final submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.