Which one of the following is the most significant risk factor for development of gastric carcinoma?
Correct Answer: Intestinal metaplasia
Description: Risk factors are:Long-term ingestion of high concentration of nitratesH.pyloriIntestinal metaplasia in patients with atrophic gastritisGastric ulcers and adenomatous polypsMenetrier's diseasePatients with blood group A have a higher incidence of Ca stomach than blood group ONote: duodenal ulcers are not associated with gastric cancer.Ref: Harrison's 18/e p766
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