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@colleenyoung

Hi @jgc, prevention of intestinal metaplasia is discussed in this article:
- Intestinal Metaplasia https://www.healthline.com/health/intestinal-metaplasia

And you may be interested in the practice guidelines of the American Gastroenterological Association (AGA)
- AGA Clinical Practice Guidelines on Management of Gastric Intestinal Metaplasia https://www.gastrojournal.org/article/S0016-5085(19)41888-X/fulltext

Do you or a family member have intestinal metaplasia?

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Replies to "Hi @jgc, prevention of intestinal metaplasia is discussed in this article: - Intestinal Metaplasia https://www.healthline.com/health/intestinal-metaplasia And..."

Thank you Colleen. Yes, I have intestinal metaplasia confirmed through endoscopy 31 years post Billroth II and though I understand it is irreversible, I believe with the right knowledge from the right experts, I will be able to prevent the expected progression to malignancy. If you know of anyone anywhere researching this surgically-induced bile reflux, please send that information. Listening to Dr. Fonkoua, I realized, maybe for the first time, GIM doesn't have to be a death sentence. Thank you again for this information.