Elevated risk for gastric adenocarcinoma can be predicted from histomorphology

Table 2 Gastric cancer risk index in patients with active H pylori gastritis

Grade of gastritis (infiltration by lymphocytes and plasma cells) is more severe in the corpus compared to the antrum or at least equally distributed

Activity of gastritis (infiltration by neutrophilic granulocytes) is more severe in the corpus compared to the antrum or at least equally distributed

Intestinal metaplasia present in the antrum and/or in the corpus

Each feature is scored with one point. Values between 0 and 3 and a total sum of 3 are possible (Adapted from Meining et al[16]).