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

Surveillance for Early Gastric Cancer Detection According to the Stratified Risk Satoki Shichijo 1 , Noriya Uedo 1 , Kentaro Nakagawa 1 , Masayasu Omori 1 , Masamichi Arao 1 , Taro Iwatsubo 1 , Hiroyoshi Iwagami 1 , Kenshi Matsuno 1 , Shuntaro Inoue 1 , Noriko Matsuura 1 , Hiroko Nakahira 1 , Akira Maekawa 1 , Takashi Kanesaka 1 , Yoji Takeuchi 1 , Koji Higashino 1 , Ryu Ishihara 1 1Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan Keyword: 萎縮性胃炎 , 腸上皮化生 , 京都分類 , 除菌後胃癌 , Helicobacter pylori pp.726-736
Published Date 2018/5/24
DOI https://doi.org/10.11477/mf.1403201368
  • Abstract
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 H. pylori(Helicobacter pylori)infection, atrophy, and IM(intestinal metaplasia)are well-known risk factors of gastric cancer. The methods of ABC classification using H. pylori antibody and pepsinogen, histologic atrophy and IM, and endoscopic atrophy are currently in use for risk stratification. Recently, the Kyoto classification of gastritis has been advocated, and its usefulness is presently under investigation. Severe endoscopic atrophy is a good predictor of gastric cancer development after H. pylori eradication therapy, which drastically prevails by national insurance coverage. The efficacy of image-enhanced endoscopy for gastric cancer detection is under consideration at the moment. In addition, it is desirable that an adequate surveillance interval be established according to the stratified risk.


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基本情報

05362180.53.5.jpg
胃と腸
53巻5号 (2018年5月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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