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Gen
Print version ISSN 0016-3503On-line version ISSN 2477-975X
Abstract
STOCCO, Ricardo et al. Correlation between endoscopy, histology and Gastropanel® in the study of premalignant gastric lesions: can it outperform the conventional method? Pilot study. Gen [online]. 2026, vol.80, n.1, pp.46-56. Epub Feb 01, 2026. ISSN 0016-3503. https://doi.org/10.61155/gen.v80i1.803.
Introduction:
Early diagnosis of atrophic gastritis and eradication of Helicobacter pylori are key strategies for its prevention. This pilot study evaluated the usefulness of GastroPanel®, a non-invasive screening test for risk factors.
Materials and methods:
A descriptive, correlational, and non-experimental study was conducted with 25 patients who underwent upper gastrointestinal endoscopy with Yagi AB classification and biopsies for histopathological analysis. GastroPanel® was performed, and its results were compared quantitatively and qualitatively with the histopathological findings.
Outcomes:
Females predominated, with a mean age of 78 years. Intestinal metaplasia was absent in 72% of patients, and Helicobacter pylori was detected in 28%. GastroPanel® showed variable ranges of gastrin and pepsinogen. Quantitatively, GastroPanel® showed low performance for diagnosing intestinal atrophy (AUC 0.51) and metaplasia (AUC 0.47), but qualitatively demonstrated 78% sensitivity and 71% specificity for intestinal metaplasia. For Helicobacter pylori, it showed 86% sensitivity and 89% specificity.
Conclusions:
GastroPanel® is a promising diagnostic tool. It does not replace biopsy, but it has high performance in the non-invasive detection of Helicobacter pylori in low-risk patients according to ABC criteria.
Keywords : Gastric cancer; Upper digestive endoscopy; Helicobacter pylori; GastroPanel; Pepsinogen; Gastrin; Gastric atrophy.












