ESOPHAGUS, STOMACH, AND DUODENUM
		 
		Case #4 - A 70 year old  with epigastric pain and weight loss | 
	 
	 
	
	
		
		 
		DISCUSSION QUESTIONS: | 
	 
	
		
		
		
			| 4.) What are risk factors for gastric cancer? 
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	Risk factors for gastric cancer:
 
 - Atrophic gastritis and intestinal metaplasia
 
  - Helicobacter pylori infection
 
  - Gastric polyps
 
  - Menetrier's disease (hypertrophic gastropathy)
 
  - Pernicious anemia	
 
  - Prior subtotal gastrectomy (more than 15 years)
 
  - Ingestion of smoked or brined foods
   
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