Intestinal Metaplasia: What do you do to lower the risk of cancer?

Posted by evapa @evapa, Apr 22, 2021

Has anyone been diagnosed with intestinal metaplasia? What does your doctor recommend? I was just diagnosed and am very anxious about it because of the risk of cancer. Would like to hear your experience with it. Thank you.

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Profile picture for sue225 @sue225

Some info which may be helpful to others with metaplasia. Acid suppression drugs should NOT be taken. Report from my gastroenterologist says that" diminished acid increases serum gastrin which then propagates metaplasia changes." So, sticking to liquid antacid.

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wow! I'll have to ask my doctor about that. I've been on PPIs for years and am wondering what kind of roll they've played with my Metaplasia. I also have chronic gastritis and without PPIs I don't know how that would fare. If feels like a "darned if you do, darned if you don't" situation.

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Profile picture for Colleen Young, Connect Director @colleenyoung

Welcome @kellbell8. Fellow member @evapa was in your exact situation about a year ago. I moved your post to this discussion that she started:
- Intestinal Metaplasia: What do you do to lower the risk of cancer? https://connect.mayoclinic.org/discussion/intestinal-metaplasia/

I did this so you can connect with Eva, @riflemanz64 @gastrogirl @jenatsky @laurarod @jillannw @callycamp @r400914 @sue225 and others sharing helpful information.

Kellbell, I can imagine you're concerned. Are you starting a list of questions you'd like to ask your doctor when you call on Monday?

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Thank you! Yes I have a very long list of questions.

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Profile picture for riflemanz64 @riflemanz64

I've had 3 EGD's in the past 3yrs. I just switched to a new GI Dr. I hope I don't need one for a few years. One other thing is go easy on salt intake. Table salt is very corrosive and no good for you. If you have gerd buy the book The acid watcher diet from amazon. A lot of great info on this disease. Cut out processed meats and foods. I only use 3 tablespoons of coffee for my bunn drip coffee maker 10 cup pot. You don't need much.

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Thank you! I'm ordering that book today.

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Profile picture for Colleen Young, Connect Director @colleenyoung

Welcome @kellbell8. Fellow member @evapa was in your exact situation about a year ago. I moved your post to this discussion that she started:
- Intestinal Metaplasia: What do you do to lower the risk of cancer? https://connect.mayoclinic.org/discussion/intestinal-metaplasia/

I did this so you can connect with Eva, @riflemanz64 @gastrogirl @jenatsky @laurarod @jillannw @callycamp @r400914 @sue225 and others sharing helpful information.

Kellbell, I can imagine you're concerned. Are you starting a list of questions you'd like to ask your doctor when you call on Monday?

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Yes I have a long list of questions for my doctor. I'll be calling Monday to make an in-person appointment with him. Thanks so much for the connections and moving me to the discussion. I really appreciate it.

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Profile picture for kellbell8 @kellbell8

Hi everybody. I was diagnosed with a hiatal hernia (slider) about 10 years ago and have been on PPIs since then. I had another endoscopy 5 years ago with no additional findings except the still existing sliding hiatal hernia. I just had my 5 year routine endoscopy and have now been diagnosed with mild, inactive, chronic gastritis with intestinal metaplasia. My doctor just sent me a "tick the box" style letter in the mail to let me know.........no follow up call, no nothing. It did indicate that he wants me to repeat the endoscopy in a year. I plan on calling his office Monday morning so that I can sit down with him and ask the many questions I have, as well as a plan going forward to properly manage this. I'm scared to death!! Can anyone provide any insight or support? Thanks so much in advance.

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Welcome @kellbell8. Fellow member @evapa was in your exact situation about a year ago. I moved your post to this discussion that she started:
- Intestinal Metaplasia: What do you do to lower the risk of cancer? https://connect.mayoclinic.org/discussion/intestinal-metaplasia/

I did this so you can connect with Eva, @riflemanz64 @gastrogirl @jenatsky @laurarod @jillannw @callycamp @r400914 @sue225 and others sharing helpful information.

Kellbell, I can imagine you're concerned. Are you starting a list of questions you'd like to ask your doctor when you call on Monday?

REPLY

Some info which may be helpful to others with metaplasia. Acid suppression drugs should NOT be taken. Report from my gastroenterologist says that" diminished acid increases serum gastrin which then propagates metaplasia changes." So, sticking to liquid antacid.

REPLY

Hi everybody. I was diagnosed with a hiatal hernia (slider) about 10 years ago and have been on PPIs since then. I had another endoscopy 5 years ago with no additional findings except the still existing sliding hiatal hernia. I just had my 5 year routine endoscopy and have now been diagnosed with mild, inactive, chronic gastritis with intestinal metaplasia. My doctor just sent me a "tick the box" style letter in the mail to let me know.........no follow up call, no nothing. It did indicate that he wants me to repeat the endoscopy in a year. I plan on calling his office Monday morning so that I can sit down with him and ask the many questions I have, as well as a plan going forward to properly manage this. I'm scared to death!! Can anyone provide any insight or support? Thanks so much in advance.

REPLY
Profile picture for sue225 @sue225

Had a gastroscopy end of March. One of the biopsies showed metaplasia. Ask your doctor. Study does say metaplasia caused by hpylori.
Also, need to be followed up with gastroscopy in three years.

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Same here, 3 years follow up 😬

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Had a gastroscopy end of March. One of the biopsies showed metaplasia. Ask your doctor. Study does say metaplasia caused by hpylori.
Also, need to be followed up with gastroscopy in three years.

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Profile picture for sue225 @sue225

Thankyou. New bit of info. Apparently, PPi's are not good for metaplasia if you have H pylori. Can actual make condition worse. I dont have h pylori.
Maybe will focus on h2 blockers.
Confusing

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Ohh, my GI prescribed me with Pantaprazole (PPI) I don’t H Pyloric. It’s confusing. I really hope that helps. For how long you have Metaplacia? For me it was just diagnosed.

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