Clinical Gastroenterology Vol.31 No.2(4-2)

Theme Evidence-based Guidelines Version 2 for Gastric Cancer Screening ; The Beginning of a New Era of Endoscopic Cancer Screening
Title Aiming for the Development of Endoscopic Screening for Gastric Cancer in Niigata City
Publish Date 2016/02
Author Rintaro Narisawa Department of Internal Medicine, Niigata Cancer Center Hospital / Committee of Gastrointestinal Cancer Screening, Niigata City Medical Association
Author Kazuei Ogoshi Department of Internal Medicine, Niigata Cancer Center Hospital / Committee of Gastrointestinal Cancer Screening, Niigata City Medical Association
Author Toshiyuki Kato Department of Internal Medicine, Niigata Cancer Center Hospital / Committee of Gastrointestinal Cancer Screening, Niigata City Medical Association
Author Satoshi Tsukioka Public Health Center Niigata City
Author Kazutaka Fujita Committee of Gastrointestinal Cancer Screening, Niigata City Medical Association
Author Masatoshi Sano Committee of Gastrointestinal Cancer Screening, Niigata City Medical Association
[ Summary ] In Niigata city, endoscopic screening for gastric cancer has been implemented since 2003 as a public health program, to reduce mortality from gastric cancer. However, 7 years had been spent on the preparations for starting this program.
The number of people examined has increased gradually from approximately 8,000 in 2003 to over 40,000 now, and appropriate quality control has preserved the high discovery rate of gastric cancer.
In future, endoscopic screening as a public health program will be widely used in Japan because it was allowed by a new guideline in 2014. The most important aspect of the endoscopic screening is executing a double‒check system involving another endoscopist for all endoscopic images of all examined cases and continuously standardizing accurate endoscopic skills through such a system and workshops.
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