Stomach and Intestine(Tokyo) Volume 53, Issue 5 (May 2018)

Current Status of Early Gastric Cancer Screening Nobuhiro Sakaki 1 , Hirotaka Nakashima 1 1Foundation for Detection of Early Gastric Carcinoma, Tokyo Keyword: 早期胃癌 , 胃がんX線検診 , 胃がん内視鏡検診 , 胃癌リスク層別化検査 , 除菌後胃癌 pp.545-552
Published Date 2018/5/24
  • Abstract
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 More than 6 million gastric X-ray examinations are annually conducted for screening gastric cancer. Although the number of endoscopic screening systems approved for population-based screening in 2014 will increase, there is a limit to the number of systems that can be implemented. In the current scenario where the number of people infected with Helicobacter pylori is decreasing, it is indispensable to introduce gastric cancer risk stratification for endoscopic screening. Meanwhile, it is a problem to deal with gastric cancer after H. pylori eradication, which is difficult to detect even by endoscopy, as the number of screening examinations after H. pylori eradication rapidly increases. As conventional gastric cancer screening has reached its limit, it is necessary to construct a gastric cancer screening system from a new perspective in which X-ray examinations and endoscopy are performed together ; this system is being prepared by several academic societies collaborating with each other and will increase the screening rate of gastric cancer.

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53巻5号 (2018年5月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院