Evidence map›Paper›PMID 35772926›Full record

ArticleGut2023

Autoimmune gastritis: long-term natural history in naïve

Massimo Rugge, Ludovica Bricca, Stefano Guzzinati, Diana Sacchi, Marco Pizzi, Edoardo Savarino, Fabio Farinati, Manuel Zorzi, Matteo Fassan, Angelo Paolo Dei Tos and 3 more

Abstract read
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In one paragraph

Article in Gut, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Journal of translational autoimmunity · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Gastric Mucosa Cancer Risk: The Operative Link on Gastritis Assessment Staging System.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Review
  11. The Evolution of Autoimmune Gastritis Research (1995-2025): A Hybrid Bibliometric-Conceptual Synthesis.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Article
  12. Article
  13. Autoimmune gastritis: emerging insights and clinical management.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  14. Article
  15. Article
  16. Review
  17. Pernicious Anemia andClinical case reports · 2026
    Article
  18. Article
  19. Article
  20. Article

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Massimo RuggeDepartment of Medicine - DIMED, Ringgold ID 9308, Padova, Veneto, Italy massimo.rugge@unipd.it.ORCID 0000-0002-0679-0563
Ludovica BriccaDepartment of Medicine - DIMED, Ringgold ID 9308, Padova, Veneto, Italy.
Stefano GuzzinatiVeneto Tumor Registry, Azienda Zero, Padova, Veneto, Italy.
Diana SacchiDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Ringgold ID 9308, Padova, Italy.
Marco PizziDepartment of Medicine - DIMED, Ringgold ID 9308, Padova, Veneto, Italy.
Edoardo SavarinoDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Ringgold ID 9308, Padova, Italy.
Fabio FarinatiDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Ringgold ID 9308, Padova, Italy.
Manuel ZorziVeneto Tumor Registry, Azienda Zero, Padova, Veneto, Italy.ORCID 0000-0001-6025-5214
Matteo FassanDepartment of Medicine - DIMED, Ringgold ID 9308, Padova, Veneto, Italy.
Angelo Paolo Dei TosDepartment of Medicine - DIMED, Ringgold ID 9308, Padova, Veneto, Italy.
Peter MalfertheinerRadiology, Ludwig Maximilians University Munich, Munchen, Germany.
Robert M GentaDepartment of Pathology, Baylor College of Medicine Houston, Texas, USA, Houston, Texas, USA.
David Y GrahamDepartment of Medicine, Michael E. De Bakey VA Medical Center, Baylor College of Medicine Houston, Houston, Texas, USA.ORCID 0000-0002-6908-8317

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAutoimmune gastritis (AIG) is an immunomediated disease targeting parietal cells, eventually resulting in oxyntic-restricted atrophy. This long-term follow-up study aimed at elucidating the natural history, histological phenotype(s), and associated cancer risk of patients with AIG consistently tested

designTwo-hundred eleven naïve

resultsOver the long-term histological follow-up, AIG consistently featured oxyntic-predominant-mononuclear inflammation. At T1, PPM-score was greater than IM (200/211 vs 160/211, respectively); IM scores increased from T1 to T2 (160/211 to 179/211), with no changes in the PPM prevalence (T1=200/211; T2=201/211). At both T1/T2, the prevalence of OLGA-III-stage was <5%; no Operative Link on Gastritis Assessment (OLGA)-IV-stage occurred. ECL-cell-status progressed from diffuse to adenomatoid hyperplasia/dysplasia (T1=167/14 vs T2=151/25). Type1-NETs (T1=10; T2=11) always coexisted with extensive oxyntic-atrophy, and ECL adenomatoid-hyperplasia/dysplasia. No excess risk of gastric or other malignancies was found over a cumulative follow-up time of 10 541 person years, except for (marginally significant) thyroid cancer (SIR=3.09; 95% CI 1.001 to 7.20).

conclusionsOxyntic-restricted inflammation, PPM (more than IM), and ECL-cell hyperplasia/neoplasia are the histological AIG hallmarks. Compared with the general population, corpus-restricted inflammation/atrophy does not increase the GC risk. The excess of GC risk reported in patients with AIG could plausibly result from unrecognised previous/current

Indexed as

GastritisGastritis, AtrophicHelicobacter InfectionsHelicobacter pyloriPrecancerous ConditionsStomach NeoplasmsAtrophyFollow-Up StudiesHumansHyperplasiaInflammationMetaplasiaautoimmune diseasegastric metaplasiagastritisneuroendocrine tumorsstaging

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.