TY - JOUR AU - Holleczek, Bernd AU - Schöttker, Ben AU - Brenner, Hermann TI - Helicobacter pylori infection, chronic atrophic gastritis and risk of stomach and esophagus cancer: Results from the prospective population-based ESTHER cohort study. JO - International journal of cancer VL - 146 IS - 10 SN - 1097-0215 CY - Bognor Regis PB - Wiley-Liss M1 - DKFZ-2019-02299 SP - 2773-2783 PY - 2020 N1 - 2020 May 15;146(10):2773-2783#EA:C070#LA:C070# AB - Helicobacter pylori (H. pylori) infection is considered as principal cause of gastric cancer. It is further associated with a reduced risk of esophageal adenocarcinomas. In a large prospective population-based cohort study including 9,949 subjects with average observation time of 13.8 years, we assessed the risk of invasive gastric and esophageal cancer according to H. pylori infection and presence of chronic atrophic gastritis (CAG). Incidence rates and hazard ratios (HR) derived by Cox proportional hazards models and adjusted for relevant confounders were derived by seroprevalence of H. pylori and cytotoxin-associated gene A (CagA) antibodies and presence of CAG based on serological markers at baseline, respectively. During follow-up, 30 cases of noncardia gastric cancer and 33 cases of esophageal cancer were observed. Infection by H. pylori without and with expression of CagA was associated with a 5.2-fold (95 LB - PUB:(DE-HGF)16 C6 - pmid:31376284 DO - DOI:10.1002/ijc.32610 UR - https://inrepo02.dkfz.de/record/144875 ER -