Risk factors for gastric cancer. What is their role?

Authors

DOI:

https://doi.org/10.22516/25007440.656

Keywords:

Gastric cancer, Risk factors, Prevention, High-risk groups

Abstract

The process of gastric carcinogenesis is multifactorial and sequential. We do not fully understand this, but
we know the natural history of the disease described by Dr. Pelayo Correa and the existence of multiple risk
factors. Identifying the factors involved in each step and managing them appropriately could help reduce the
incidence of gastric cancer (GC). Helicobacter pylori (HP) infection is probably the most widely known and
discussed risk factor. However, there are other factors such as lifestyle, type of diet, family history of cancer,
among others, that are also involved in the development and incidence of this cancer and have a wide window of time to exert their influence.
At the population level, identification and awareness of these risk factors can provide insight into the etiology
of the disease and are essential for planning, monitoring and evaluating prevention plans, policies and
strategies. It is therefore necessary to develop a study tool based on risk factor identification that can be added to endoscopic and histological findings and used in clinical practice for GC risk classification.

Downloads

Download data is not yet available.

Author Biographies

Ricardo Oliveros Wilches, Instituto Nacional de Cancerología E.S.E.

Especialista en Cirugía Gastrointestinal y Endoscopia digestiva. Bogotá, Colombia

Helena Facundo Navia, Instituto Nacional de Cancerología

Especialista en Cirugía Gastrointestinal y Endoscopia Digestiva. Bogotá, Colombia.

Ana Deise Bonilla Castañeda, Instituto Nacional de Cancerología

Médico Cirujano, Cirujano general, Cirujano gastrointestinal. Bogotá, Colombia.

Raúl Eduardo Pinilla Morales, Instituto Nacional de Cancerología ESE

Especialista en Cirugía Gastrointestinal y Endoscopia digestiva. Bogotá, Colombia.

References

Caicedo HH, Hashimoto DA, Caicedo JC, Pentland A, Pisano GP. Overcoming barriers to early disease intervention. Nat Biotechnol. 2020;38(6):669-73. https://doi.org/10.1038/s41587-020-0550-z

Graham DY, Rugge M, Genta RM. Diagnosis: gastric intestinal metaplasia - what to do next? Curr Opin Gastroenterol. 2019;35(6):535-43. https://doi.org/10.1097/MOG.0000000000000576

Chadwick G, Groene O, Riley S, Hardwick R, Crosby T, Hoare J, Hanna GB, Greenaway K, Cromwell DA. Gastric Cancers Missed During Endoscopy in England. Clin Gastroenterol Hepatol. 2015;13(7):1264-1270.e1.https://doi.org/10.1016/j.cgh.2015.01.025

Rugge M, Capelle LG, Fassan M. Individual risk stratification of gastric cancer: evolving concepts and their impact on clinical practice. Best Pract Res Clin Gastroenterol. 2014;28(6):1043-53. https://doi.org/10.1016/j.bpg.2014.09.002

Rugge M, Sugano K, Scarpignato C, Sacchi D, Oblitas WJ, Naccarato AG. Gastric cancer prevention targeted on risk assessment: Gastritis OLGA staging. Helicobacter. 2019;24(2):e12571. https://doi.org/10.1111/hel.12571

van der Kaaij RT, van Kessel JP, van Dieren JM, Snaebjornsson P, Balagué O, van Coevorden F, van der Kolk LE, Sikorska K, Cats A, van Sandick JW. Outcomes after prophylactic gastrectomy for hereditary diffuse gastric cancer. Br J Surg. 2018;105(2):e176-e182. https://doi.org/10.1002/bjs.10754

Yoon H, Kim N. Diagnosis and management of high risk group for Gastric Cancer. Gut and Liver 2015;9(1): 5-17. https://doi.org/10.5009/gnl14118

Yusefi AR, Bagheri Lankarani K, Bastani P, Radinmanesh M, Kavosi Z. Risk Factors for Gastric Cancer: A Systematic Review. Asian Pac J Cancer Prev. 2018;19(3):591-603. https://doi.org/10.22034/APJCP.2018.19.3.591

Lyons K, Le LC, Pham YT, Borron C, Park JY, Tran CTD, Tran TV, Tran HT, Vu KT, Do CD, Pelucchi C, La Vecchia C, Zgibor J, Boffetta P, Luu HN. Gastric cancer: epidemiology, biology, and prevention: a mini review. Eur J Cancer Prev. 2019;28(5):397-412. https://doi.org/10.1097/CEJ.0000000000000480

Banks M, Graham D, Jansen M, Gotoda T, Coda S, di Pietro M, Uedo N, Bhandari P, Pritchard DM, Kuipers EJ, Rodriguez-Justo M, Novelli MR, Ragunath K, Shepherd N, Dinis-Ribeiro M. British Society of Gastroenterology guidelines on the diagnosis and management of patients at risk of gastric adenocarcinoma. Gut. 2019;68(9):1545-75. https://doi.org/10.1136/gutjnl-2018-318126

Charvat H, Sasazuki S, Inoue M, Iwasaki M, Sawada N, Shimazu T, Yamaji T, Tsugane S; JPHC Study Group. Prediction of the 10-year probability of gastric cancer occurrence in the Japanese population: the JPHC study cohort II. Int J Cancer. 2016;138(2):320-31. https://doi.org/10.1002/ijc.29705

Poorolajal J, Moradi L, Mohammadi Y, Cheraghi Z, Gohari-Ensaf F. Risk factors for stomach cancer: a systematic review and meta-analysis. Epidemiol Health. 2020;42:e2020004. ttps://doi.org/10.4178/epih.e2020004

Karimi P, Islami F, Anandasabapathy S, Freedman ND, Kamangar F. Gastric cancer: descriptive epidemiology, risk factors, screening, and prevention. Cancer Epidemiol Biomarkers Prev. 2014;23(5):700-13. https://doi.org/10.1158/1055-9965.EPI-13-1057

Rawla P, Barsouk A. Epidemiology of gastric cancer: global trends, risk factors and prevention. Prz Gastroenterol. 2019;14(1):26-38. https://doi.org/10.5114/pg.2018.80001

Huang JQ, Sridhar S, Chen Y, Hunt RH. Meta-analysis of the relationship between Helicobacter pylori seropositivity and gastric cancer. Gastroenterology. 1998;114(6):1169-79. https://doi.org/10.1016/S0016-5085(98)70422-6

Ma K, Baloch Z, He TT, Xia X. Alcohol Consumption and Gastric Cancer Risk: A Meta-Analysis. Med Sci Monit. 2017;23:238-46. https://doi.org/10.12659/MSM.899423

Tramacere I, Negri E, Pelucchi C, Bagnardi V, Rota M, Scotti L, Islami F, Corrao G, La Vecchia C, Boffetta P. A meta-analysis on alcohol drinking and gastric cancer risk. Ann Oncol. 2012;23(1):28-36. https://doi.org/10.1093/annonc/mdr135

Nemati A, Mahdavi R, Naghizadeh Baghi A. Case-control study of dietary pattern and other risk factors for gastric cancer. Health Promot Perspect. 2012;2(1):20-7. https://doi.org/10.5681/hpp.2012.003

D’Elia L, Rossi G, Ippolito R, Cappuccio FP, Strazzullo P. Habitual salt intake and risk of gastric cancer: a meta-analysis of prospective studies. Clin Nutr. 2012;31(4):489-98. https://doi.org/10.1016/j.clnu.2012.01.003

Ge S, Feng X, Shen L, Wei Z, Zhu Q, Sun J. Association between Habitual Dietary Salt Intake and Risk of Gastric Cancer: A Systematic Review of Observational Studies. Gastroenterol Res Pract. 2012;2012:808120. https://doi.org/10.1155/2012/808120

Gómez-Zuleta M, Otero-Regino W, Ruiz-Lobo X. Factores de riesgo para cáncer gástrico en pacientes colombianos. Rev Colomb Gastroenterol. 2009;24(2):134-143.

Bonequi P, Meneses-González F, Correa P, Rabkin CS, Camargo MC. Risk factors for gastric cancer in Latin America: a meta-analysis. Cancer Causes Control. 2013;24(2):217-31. https://doi.org/10.1007/s10552-012-0110-z

Yaghoobi M, Bijarchi R, Narod SA. Family history and the risk of gastric cancer. Br J Cancer. 2010;102(2):237-42. https://doi.org/10.1038/sj.bjc.6605380

Nishimoto IN, Hamada GS, Kowalski LP, Rodrigues JG, Iriya K, Sasazuki S, Hanaoka T, Tsugane S. Risks factors for stomach cáncer in Brazil(I): A case -control study among non Japanese Brazilians in Sao Paulo. Jpn J Clin Oncol. 2002;32(8):277-83. https://doi.org/10.1093/jjco/hyf060

Buckland G, Travier N, Huerta JM, Bueno-de-Mesquita HB, Siersema PD, Skeie G, Weiderpass E, Engeset D, Ericson U, Ohlsson B, Agudo A, Romieu I, Ferrari P, Freisling H, Colorado-Yohar S, Li K, Kaaks R, Pala V, Cross AJ, Riboli E, Trichopoulou A, Lagiou P, Bamia C, Boutron-Ruault MC, Fagherazzi G, Dartois L, May AM, Peeters PH, Panico S, Johansson M, Wallner B, Palli D, Key TJ, Khaw KT, Ardanaz E, Overvad K, Tjønneland A, Dorronsoro M, Sánchez MJ, Quirós JR, Naccarati A, Tumino R, Boeing H, Gonzalez CA. Healthy lifestyle index and risk of gastric adenocarcinoma in the EPIC cohort study. Int J Cancer. 2015;137(3):598-606. https://doi.org/10.1002/ijc.29411

Tata MD, Gurunathan R, Palayan K. MARK›s Quadrant scoring system: a symptom-based targeted screening tool for gastric cancer. Ann Gastroenterol. 2014;27(1):34-41.

Chen XZ, Huang CZ, Hu WX, Liu Y, Yao XQ. Gastric Cancer Screening by Combined Determination of Serum Helicobacter pylori Antibody and Pepsinogen Concentrations: ABC Method for Gastric Cancer Screening. Chin Med J (Engl). 2018;131(10):1232-39. https://doi.org/10.4103/0366-6999.231512

Iida M, Ikeda F, Hata J, Hirakawa Y, Ohara T, Mukai N, Yoshida D, Yonemoto K, Esaki M, Kitazono T, Kiyohara Y, Ninomiya T. Development and validation of a risk assessment tool for gastric cancer in a general Japanese population. Gastric Cancer. 2018;21(3):383-90. https://doi.org/10.1007/s10120-017-0768-8

Eom BW, Joo J, Kim S, Shin A, Yang HR, Park J, Choi IJ, Kim YW, Kim J, Nam BH. Prediction Model for Gastric Cancer Incidence in Korean Population. PLoS One. 2015;10(7):e0132613. https://doi.org/10.1371/journal.pone.0132613

Cai Q, Zhu C, Yuan Y, Feng Q, Feng Y, Hao Y, Li J, Zhang K, Ye G, Ye L, Lv N, Zhang S, Liu C, Li M, Liu Q, Li R, Pan J, Yang X, Zhu X, Li Y, Lao B, Ling A, Chen H, Li X, Xu P, Zhou J, Liu B, Du Z, Du Y, Li Z; Gastrointestinal Early Cancer Prevention & Treatment Alliance of China (GECA). Development and validation of a prediction rule for estimating gastric cancer risk in the Chinese high-risk population: a nationwide multicentre study. Gut. 2019;68(9):1576-87. https://doi.org/10.1136/gutjnl-2018-317556

Quach DT, Hiyama T, Gotoda T. Identifying high-risk individuals for gastric cancer surveillance from western and eastern perspectives: Lessons to learn and possibility to develop an integrated approach for daily practice. World J Gastroenterol. 2019;25(27):3546-62. https://doi.org/10.3748/wjg.v25.i27.3546

Hamashima C; Systematic Review Group and Guideline Development Group for Gastric Cancer Screening Guidelines. Update version of the Japanese Guidelines for Gastric Cancer Screening. Jpn J Clin Oncol. 2018;48(7):673-83. https://doi.org/10.1093/jjco/hyy077

de Vries AC, van Grieken NC, Looman CW, Casparie MK, de Vries E, Meijer GA, Kuipers EJ. Gastric cancer risk in patients with premalignant gastric lesions: a nationwide cohort study in the Netherlands. Gastroenterology. 2008;134(4):945-52. https://doi.org/10.1053/j.gastro.2008.01.071

Tatsuta M, Iishi H, Nakaizumi A, Okuda S, Taniguchi H, Hiyama T, Tsukuma H, Oshima A. Fundal atrophic gastritis as a risk factor for gastric cancer. Int J Cancer. 1993;53(1):70-4. https://doi.org/10.1002/ijc.2910530114

Leung WK, Sung JJ. Review article: intestinal metaplasia and gastric carcinogenesis. Aliment Pharmacol Ther. 2002;16(7):1209-16. https://doi.org/10.1046/j.1365-2036.2002.01300.x

You WC, Li JY, Blot WJ, Chang YS, Jin ML, Gail MH, Zhang L, Liu WD, Ma JL, Hu YR, Mark SD, Correa P, Fraumeni JF Jr, Xu GW. Evolution of precancerous lesions in a rural Chinese population at high risk of gastric cancer. Int J Cancer. 1999;83(5):615-9. https://doi.org/10.1002/(SICI)1097-0215(19991126)83:5<615::AID-IJC8>3.0.CO;2-L

Rugge M, Meggio A, Pravadelli C, Barbareschi M, Fassan M, Gentilini M, Zorzi M, Pretis G, Graham DY, Genta RM. Gastritis staging in the endoscopic follow-up for the secondary prevention of gastric cancer: a 5-year prospective study of 1755 patients. Gut. 2019;68(1):11-17. https://doi.org/10.1136/gutjnl-2017-314600

Marqués-Lespier JM, González-Pons M, Cruz-Correa M. Current Perspectives on Gastric Cancer. Gastroenterol Clin North Am. 2016;45(3):413-28. https://doi.org/10.1016/j.gtc.2016.04.002

Thrift AP, El-Serag HB. Burden of Gastric Cancer. Clin Gastroenterol Hepatol. 2020;18(3):534-542. https://doi.org/10.1016/j.cgh.2019.07.045

Figura 1. Cáncer gástrico. Factores de riesgo en el tiempo (historia natural). Elaboración propia.

Published

2021-09-15

How to Cite

Oliveros Wilches, R., Facundo Navia, H., Bonilla Castañeda, A. D., & Pinilla Morales, R. E. (2021). Risk factors for gastric cancer. What is their role?. Revista Colombiana De Gastroenterología, 36(3), 366–376. https://doi.org/10.22516/25007440.656

Issue

Section

Review articles

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code

Some similar items: