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Changes of Helicobacter pylori Infection Status and Risk of Precancerous Lesions: A Prospective Cohort Study in Chinese Population - PubMed

5 days ago
  • #precancerous lesions
  • #Helicobacter pylori
  • #gastric cancer
  • Study evaluates associations between Helicobacter pylori infection status changes and precancerous gastric lesions (PGLs) risk.
  • Analysis of 6208 participants from the FuSion cohort with gastroscopy and H. pylori antibody data.
  • Participants classified into four ABC groups based on H. pylori IgG antibodies and pepsinogens (PG).
  • Increasing trend in PGLs prevalence and severity observed across ABC groups (p for trend < 0.05).
  • Graded risk increases for PGLs noted from consistently negative to remained positive groups.
  • Seroreverted participants still had elevated risks of atrophic gastritis (aOR = 2.01) and intestinal metaplasia (aOR = 1.72).
  • Long-term H. pylori exposure linked to higher PGLs risk, persisting even after seroreversion.