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Occupational Asbestos Exposure and Risk of Gastrointestinal Cancers: Results from a Systematic Review and Meta-analyses of the Evidence by Mieke Koehoorn The systematic review and meta-analyses of epidemiology studies found evidence of an increased risk of esophageal cancer, stomach cancer and colorectal cancer with occupational exposure to asbestos. There was stronger evidence of this relationship where there was better exposure assessment and increased confidence in the categorization of significant asbestos exposure in studies, including among the highest exposed workers, among workers with a history of significant exposure as a result of the nature of their work, and among workers in cohorts where there was also a two-fold or greater increased risk of asbestos-related lung cancer as a strong indicator of exposure.