Statement 18: Low-grade and high-grade intra-epithelial neoplasia requires: (1) confirmatory histological assessment, (2) gastric mapping by high resolution endoscopy and (3) targeted Endoscopic Mucosal Resection (EMR) or Endoscopic Submucosal Dissection (ESD), particularly for high grade, in tertiary endoscopy centres. Ablation does not abolish metachronous cancer risk. H. pylori eradication and postablation surveillance are both mandatory.
Agreement 100% Grade A1