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Status and Issues of Mass Screening for Gastric Cancer Applying Transnasal Endoscopy―From the Standpoint of Screening for Residents Yoshikatsu Inui 1 , Susumu Ohwada 1 , Yuko Kondou 1 , Naondo Sohara 2 , Moriya Yoshikawa 3 1Inui Clinic of Internal Medicine, Takasaki, Japan 2Shirakawa Clinic, Maebashi, Japan 3Yoshikawa Clinic, Takasaki, Japan Keyword: 胃癌スクリーニング , 経鼻内視鏡 , ABC検診 , Helicobacter pylori抗体価 , 血清ペプシノゲン値 pp.1230-1240
Published Date 2008/7/25
DOI https://doi.org/10.11477/mf.1403101424
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 Today, the serum test of serum H. pylori antibody (Hp) and pepsinogen levels (PG) has been used to assess the risk of gastric cancer development. As a national project, mass screening for gastric cancer including subjects over 40 years of age, half of whom are Hp (-) PG (-) and at lowest risk of developing gastric cancer, is a nonsense program. In the future, a mass screening program for gastric cancer, including only subjects at higher risk, applying more tolerable transnasal endoscopy, using an optimal interval for endoscopy, and more effective detection of curable gastric cancer must be introduced. The final goal of mass screening must facilitate the primary prevention of gastric cancer. In this review of mass screening applying endoscopy, the several issues of man power, tolerability for subjects, safety of procedures and diagnostic accuracy were studied. Finally, we conclude that the ABC stratification strategy using Hp and PG and applying transnasal endoscopy has the potential to become an efficient means of mass screening for gastric cancer.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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