What is the risk of developing cancer in asymptomatic patients? Should they undergo an endoscopic examination?
About 0.5 to 2.5% of persons with lifelong, untreated H. pylori will develop stomach cancer. This percentage is higher in some countries (Japan, Columbia) and lower in others (USA, Australia). Ethnic factors and diet also play a role. H. pylori positive persons without symptoms or family history of stomach cancer need not undergo endoscopy.