Gastric (Stomach) Cancer Facts: Risk Factors

There are several things that may increase your risk of gastric cancer. Some of these risk factors , like family history, are beyond your control. However, you may be able to change other gastric cancer risk factors, like poor eating habits and obesity.

Gastric Cancer Risk Factors

The following things may increase your risk of gastric cancer:

  • Stomach Infection: A stomach infection caused by the bacterium Helicobacter pylori (or H pylori) may be a major risk factor of gastric cancer. Having this infection for a long time may cause damage to the stomach's inner lining and eventually lead to gastric cancer.
  • Being Overweight or Obese: Being obese or overweight may be a major risk factor of gastric cancer, especially cancer in the upper part of the stomach near the esophagus. Almost 50% of gastric cancers in this area of the stomach are linked to obesity or smoking.
  • Poor Eating Habits: Consuming a lot of salted fish and meats, smoked foods and pickled vegetables may increase your risk of gastric cancer.
  • Excessive Smoking and Alcohol Use: Smoking may increase your risk of gastric cancer, especially cancer in the upper part of the stomach near the esophagus. Almost 50% of gastric cancers in this area of the stomach are linked to smoking or obesity. Smokers have nearly double the risk of gastric cancer than nonsmokers. Although it is still unknown if excessive alcohol use increases the risk of gastric cancer, some studies have linked gastric cancer to alcohol use.
  • Stomach Surgery: If you have had stomach surgery in the past, such as removal of part of the stomach to treat ulcers, you may be at an increased risk of gastric cancer.
  • Gender and Age: Men are twice as likely to develop gastric cancer as women. The risk of gastric cancer increases greatly after age 50. Most gastric cancers occur in people in their late 60s, 70s and 80s.
  • Ethnicity: Gastric cancer is most common in Asian/Pacific Islanders. Black and Hispanic people are more likely to develop gastric cancer than non-Hispanic white people.
  • Geography: Gastric cancer occurs most often in Japan, Southern and Eastern Europe, China, and Central and South America.
  • Vitamin B12 Deficiency: Lack of a stomach substance that helps absorb vitamin B12 may cause a vitamin B12 deficiency and increase your risk of gastric cancer.
  • Menetrier Disease (Also Known as Hypertrophic Gastropathy): This rare disease, in which large folds develop in the stomach due to acid hyper production and changes in the stomach lining, may increase the risk of gastric cancer.
  • Family History of Gastric Cancer: If you have several close relatives who have had gastric cancer, you may be at an increased risk of gastric cancer.
  • Genetic Factors: Inheriting certain genetic disorders, like nonpolyposis colorectal cancer , and gene mutations (changes) may increase your risk of gastric cancer.
  • Stomach Polyps: If you have had polyps (noncancerous growths) in the stomach lining, particularly polyps called adenomas , you may have an increased risk of gastric cancer.
  • Epstein-Barr Virus: There may be a link between the Epstein-Barr virus, which causes infectious , and certain gastric cancers.
  • Having Type-A Blood: For reasons unknown, having type-A blood may increase your risk of gastric cancer.

Reducing Your Risk of Gastric Cancer

There are things you and your doctor can do that may help reduce your risk of gastric cancer.

  • Changing Eating Habits: Limiting your intake of salted fish and meats, smoked foods and pickled vegetables may help reduce your risk of gastric cancer. Other changes that may help reduce your risk include consuming a minimum of five fruits and vegetables a day, increasing your intake of whole grains, and limiting your consumption of high-fat meats, processed meats and red meats.
  • Quitting Smoking and Limiting Alcohol Consumption: Quitting or avoiding smoking may help reduce your risk of gastric cancer. Contact the American Cancer Society if you need help quitting. Limiting your intake of alcohol also may help reduce your risk of gastric cancer.
  • Testing for the H Pylori Infection: Your doctor can perform tests to determine if you have the H pylori infection. While one research study has shown that antibiotics may help decrease the risk of gastric cancer caused by the H pylori infection, more studies are needed to be sure. Talk to your doctor to learn more about H pylori and antibiotic use.
  • Using nonsteroidal anti-inflammatory drugs: Taking nonsteroidal anti-inflammatory drugs, such as aspirin or ibuprofen, may help reduce the risk of gastric cancer by 25% or more. However, there may be serious side effects related to frequent use of these drugs. It is important to discuss the risks and benefits of nonsteroidal anti-inflammatory drugs with your doctor.

There is no guarantee that following these guidelines will prevent gastric cancer. However, these measures may help reduce your risk of gastric cancer.

Learn about screening for gastric cancer and how to recognize possible signs and symptoms of gastric cancer: Gastric Cancer Facts: Screening, Signs And Symptoms.