ハンガリーにおける消化器病保健センターと早期胃癌

Gastroenterological Welfare Centre and Early Gastric Cancer in Hungary

　この論文はハンガリーの胃集検の試みに関するものである．筆者らはJászberény市在住の医師で，サフラニー先生の友人たちである．この国では，いちばん積極的に胃癌に取組んでいる人たちである．ハンガリー人の“胃の様子”がわかり興味ある論文であり，ここに掲載する．

　The frequency of gastric cancer is very high in Hungary. In the fight against gastric cancer a complex screening and Welfare Centre was organized by the authors, and the main objectives and results of this work are referred.

　The atrophic gastritis and/or intestinal metaplasia, gastric polyp, gastric ulcer are considered by the authors to be the precursory states of gastric carcinoma. In the first place the functional properties and frequency of atrophic gastritis and intestinalization are discussed. A “high risk” group of 694 patients with these lesions are controlled, and the last four years it this group 7 cancer cases could have been detected, 5 of them in early stage.

　In the second part of the study the possibilities of gastric cancer mass survey in Hungary are acquainted. A mass screening of a normal population (1534 individuals) was performed by the authors, based on the lactic acid dehydrogenase activity determination in the gastric juice. 7 cancer caces (4.56 per thousand) were detected, including 3 cases in early stage.

　With the practical application of complex check-up methods the ratio of early gastric cancer cases could have been increased to 12.5 per cent of total gastric cancer cases, in the region of authors.