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Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal gastric oxyntic or antral mucosa by intestinal epithelium in response to chronic gastric inflammation • The most common trigger is chronic Helicobacter pylori (H pylori) gastritis Clinical decision algorithm for GIM management Endoscopic surveillance exam Shailja Shah, MD MPH @ShailjaShahMD #Gastric #Intestinal #Metaplasia #GIM #diagnosis #management #gastroenterology