{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:46:57Z","timestamp":1785930417572,"version":"3.56.0"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100031734","name":"Asociaci\u00f3n Espa\u00f1ola de Gastroenterolog\u00eda","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031734","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI21\/00333"],"award-info":[{"award-number":["PI21\/00333"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI21\/01181"],"award-info":[{"award-number":["PI21\/01181"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Post\u2010endoscopy gastric cancer (PEGC) is a gastric cancer (GC) diagnosed within 3\u00a0years after an esophago\u2010gastro\u2010duodenoscopy (EGD) negative for cancer. Post\u2010endoscopy gastric cancer has a prevalence of 9%\u201311% in the western population and is potentially reducible through adequate surveillance and high\u2010quality endoscopy. However, Post\u2010Endoscopy Gastric Cancer features are not well defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Define Post\u2010Endoscopy Gastric Cancer prevalence in a gastric cancer low\u2010risk area as Spain, describe its characteristics and associated factors. Evaluate adherence to current recommendations for surveillance of preneoplastic gastric lesions and endoscopic quality indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive and analytical study included patients who met PEGC criteria and enrolled in the EpiGASTRIC registry\u2014a\u00a0national multicentric GC cohort\u2014between April 2021 and May 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 289 gastric cancer patients analyzed, 21 (7.3%) presented with PEGC. No differences were found between PEGCs and new\u2010onset gastric cancers (NOGC) regarding clinical\u2010demographic characteristics (males 52.4%, 65\u00a0years, caucasians 78.9%, previous\n                      <jats:italic>Helicobacter pylori<\/jats:italic>\n                      infection 56.3%) except for use of proton pump inhibitors (PPI) (81.0% vs. 44.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value\u00a0=\u00a00.002). Distal stomach (antrum and\/or incisure) was more frequently affected in PEGC compared with NOGC (71.4% vs. 46.2%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value\u00a0=\u00a00.022), without differences in tumoral staging (I\u2013II 52.4%) or histology (intestinal type 47.6%). Median time from last negative\u2010for\u2010cancer EGD to diagnosis was 13.6\u00a0months (interquartile range 4.1\u201326.8), with 38.1% of precursor lesions in previous endoscopy (19% chronic atrophic gastritis with metaplasia, 19% dysplasia). Considering last negative\u2010for\u2010cancer EGD, adherence to current recommendations was 66.6% for the surveillance of gastric lesions, and 14.3% for quality indicators (complete procedure 100%, high\u2010definition 38.1%, chromoendoscopy 10.0%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PEGC patients present a higher rate of distal stomach involvement and use of PPIs. Although precursor gastric lesions are commonly identified, adherence to current recommendations for their surveillance and to established quality indicators in EGDs is scarce. Despite its low prevalence, there is room for improvement to enhance the early detection and prevention strategies for PEGC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ueg2.70096","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T17:41:16Z","timestamp":1762796476000},"page":"2057-2065","source":"Crossref","is-referenced-by-count":1,"title":["Tackling Post\u2010Endoscopy Gastric Cancer in a Low\u2010Risk Area: Prevalence, Features, and Prevention Opportunities Through Better Clinical Practice"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2852-2591","authenticated-orcid":false,"given":"Ricard","family":"Prat","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Fundaci\u00f3 de Recerca Cl\u00ednic Barcelona\u2010Institut d\u2019Investigacions Biom\u00e8diques August Pi i Sunyer (FRCB\u2010IDIBAPS)  Barcelona Spain"},{"name":"Facultat de Medicina i Ci\u00e8ncies de la Salut 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