Early detection through surveillance.

Gastric Intestinal Metaplasia Surveillance involves regular monitoring to detect early changes in the stomach lining, crucial for preventing progression to more severe conditions like gastric cancer

Close-up of a person wearing a white jacket with an abstract blue design on the front, symbolizing their stomach.

Prevention Starts with a

Gastric Intestinal Metaplasia Surveillance

What is Gastric Intestinal Metaplasia?

Gastric Intestinal Metaplasia Surveillance involves regular monitoring and endoscopic examinations to detect early changes in the stomach lining, helping to prevent the progression to gastric cancer by identifying abnormal tissue transformation early. Stomach Intestinal Metaplasia is a condition where the stomach lining changes to resemble the intestines, potentially increasing cancer risk.

When Gastric Intestinal Metaplasia Surveillance Becomes Necessary

Ongoing symptoms may indicate an underlying condition. Consider seeing a gastro specialist if you're experiencing some of these symptoms

Regular surveillance can help in identifying these symptoms early for timely treatment.

stomach pain

nausea

digestive issues

Key Components of Our Gastric Intestinal Metaplasia Surveillance

GastroClear Testing

A stool or blood sample is collected and sent to the lab for GastroClear testing. This test helps in identifying biomarkers associated with intestinal metaplasia and other gastrointestinal conditions.

Endoscopy Procedure

You will be instructed to fast for several hours before the procedure. Sedation is typically administered to ensure comfort during the procedure.
A thin, flexible tube with a camera (endoscope) is inserted through your mouth to examine your stomach and intestines.
If suspicious areas are found, small tissue samples (biopsies) are taken for further analysis.

Meet Your Endoscopy & Gastrointestinal Specialists

Dr. John Hsiang

Senior Consultant Gastroenterologist

MBChB(NZ), FRACP(Australasia), MD(Doctorate), FRCP(Edinburgh), FAMS(Gastro)

Dr. John Hsiang is a seasoned gastroenterologist and hepatologist with over two decades of clinical experience. His distinguished career includes training at Otago Medical School and the Prince of Wales Hospital in Hong Kong, specializing in liver disease and gastrointestinal disorders. Dr. Hsiang is dedicated to patient education, empowering individuals with the knowledge and confidence to manage their health.

Dr John Hsiang in blue scrubs seated, smiling confidently, representing professional gastroenterology care.

Common Questions about Gastric Intestinal Metaplasia Surveillance

How should I prepare for a colonoscopy?

Discuss Medical History: Inform your doctor about your medical conditions and medications. Adjust or stop certain medications if needed. Adjust Your Diet: Avoid high-fiber foods two days before and switch to a clear liquid diet before the procedure. Take Necessary Medications: Inform your doctor of all medications, including over-the-counter ones. Adjust or stop certain medications as advised. Bowel Cleansing Preparation: Follow instructions to drink a special solution to flush out the colon for clear visibility. Fast Before Procedure: Fast for at least 6 hours before the procedure; clear liquids may be allowed up to 4 hours prior.
How soon will I receive the results after my colonoscopy?

Your healthcare provider will discuss the findings shortly after the procedure. In some cases, biopsies may be taken during the colonoscopy, and results from these tests may take a little longer to process. Your specialist will follow up with you in clinic to discuss further results in detail.
Is there any possible discomfort or risk during and after the colonoscopy?

While complications are rare, they may include bleeding, perforation of the colon, or adverse reactions to sedation. The risk of bleeding and perforation is usually around 0.1% (or 1 in 1000), these are usually related to the therapeutic procedure undertaken during the colonoscopy, for example, removal of polyps. Your healthcare provider will discuss the potential risks and address any concerns you may have.
Are there restrictions following a colonoscopy?

It is recommended to avoid strenuous activities and heavy lifting for at least 24 hours after the procedure. Your healthcare provider may also advise you to avoid certain medications, such as blood thinners, for a period. If biopsies were taken during the colonoscopy, your doctor may provide specific instructions on how to care for the area where they were taken.
What can I eat after the colonoscopy?

After the procedure, you may need some time to recover from the sedation. Your healthcare provider will provide guidance on when it’s safe to resume eating and drinking. Typically, it is recommended to stick to a light diet initially, and then gradually reintroduce solid foods. Avoid heavy or spicy meals that may irritate your digestive system. Foods that are easy to digest, such as soup, crackers, and toast, are usually recommended for the first meal. It is also important to drink plenty of fluids to flush out the remaining sedation medication from your system.
Do I need a second colonoscopy if my first one was normal?

The recommended frequency for a routine colonoscopy depends on individual risk factors, such as family cancer history, personal health history and the number of polyps removed during the index colonoscopy. It is best to follow the advice of your healthcare provider regarding when to schedule your next screening. In some cases, a second colonoscopy may be necessary if there are abnormal findings or persistent symptoms after your first procedure. Your doctor will discuss the need for further tests or procedures with you.