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.