Explore the development of guidelines for gastric intestinal metaplasia in this 25-minute conference talk from the 2022 Gastric Cancer Summit. Presented by Dr. Douglas Morgan from the University of Alabama at Birmingham, delve into key topics such as surveillance guidelines, the Concord Initiative, and survival goals across high and low-resource countries. Examine risk stratification, racial disparities, and high incidence regions, with a focus on Central America and the Western Hemisphere. Learn about AGA technical reviews, H. pylori prevalence, quality endoscopy practices, and image-enhanced endoscopy techniques. Discuss gastric bioxymapping, surveillance endoscopy guidelines, current challenges, and future directions in the field of gastric cancer prevention and management.