Background: Surveillance of gastric precancerous lesions (GPL) may reduce gastric cancer (GC)-related mortality, but some patients with GPL are lost to follow-up. Objective: The aim of this study was to evaluate the feasibility and efficacy of a “phone-call” strategy in surveillance of the lost to follow-up patients. Patients and Methods: Among all the patients diagnosed with GPL (atrophic gastritis, intestinal metaplasia, low-grade dysplasia) between 2000 and 2015, we identified those who should undergo surveillance endoscopy according to the current guidelines. They were contacted by telephone and invited to undergo endoscopy with gastric biopsies for histological analysis. Results: Among 535 patients with GPL, 134 were contacted. Sixty-two (46%) could not be joined, 36 did not have endoscopy for other reasons, and finally, 36 patients (22 males, median age 65 years) were included. After the median time interval of 57 months between 2 endoscopies, 18 patients showed stability, 11 regression, and 7 progression of GPL, including 1 patient who developed GC. Conclusion: Despite several telephone calls, only one-third of the contacted patients could be brought to surveillance endoscopy. Most of the patients showed stability of GPL, but 1 progressed to GC and could be successfully treated.
Gastrointest Tumors

中文翻译：

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电话提醒策略在失访胃癌前病变患者监测中的评价

背景：胃癌前病变（GPL）的监测可以降低​​胃癌（GC）相关死亡率，但一些GPL患者失访。目的：本研究的目的是评估“电话”策略监测失访患者的可行性和有效性。患者和方法：在 2000 年至 2015 年期间诊断为 GPL（萎缩性胃炎、肠化生、低度不典型增生）的所有患者中，我们根据现行指南确定了应接受内镜监测的患者。他们通过电话联系并被邀请进行内窥镜检查和胃活检以进行组织学分析。结果：在 535 名 GPL 患者中，有 134 名被联系。62 例（46%）无法加入，36 例因其他原因未进行内镜检查，最终纳入 36 例患者（22 例男性，中位年龄 65 岁）。在 2 次内镜检查的中位时间间隔为 57 个月后，18 名患者出现 GPL 稳定、11 名消退和 7 名进展，其中 1 名患者出现 GC。结论：尽管打了几个电话，但只有三分之一的接触患者可以接受内窥镜检查。大多数患者表现出GPL稳定，但1例进展为GC并且可以成功治疗。
胃肠肿瘤