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Gastric intestinal metaplasia
  1. C A Rubio,
  2. R Befrits
  1. Department of Pathology and Gastroenterology, Karolinska Institute and Hospital, 17176 Stockholm, Sweden;

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    We read with interest the article by Dinis-Ribeiro et al concerning a follow up model for patients with atrophic gastritis and intestinal metaplasia (IM).1 The model proposed is based on “a minimum of two endoscopic biopsies”, although 40% of patients had at least three biopsies, and more than 15% of patients had more than four biopsies performed. Within that setting, the authors investigated the significance of type I, II, and III IM, and concluded that those with type I IM should have a less intensive follow up protocol, whereas in those with type III IM, “a hunt for high grade neoplasia should be performed”.

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