What is the recommended surveillance approach for gastric intestinal metaplasia in patients without gastric cancer risk factors?

For U.S. patients with gastric intestinal metaplasia (GIM) without high-risk features, both the AGA and the ACG recommend testing for and eradication of Helicobacter pylori infection as the primary intervention for gastric cancer prevention, while routine surveillance endoscopy is not recommended in...

The most recent AGA guidelines from 2019 do not provide clear guidance on endoscopic follow-up for patients with gastric intestinal metaplasia (GIM), detected either intentionally or incidentally, but rather provide an algorithm that factors in Helicobacter pylori (H. pylori) infection status, famil...