| Theme |
Current Status and Future Perspectives of Endoscopic Screening |
| Title |
Efficient Endoscopic Screening Using Risk Stratification of Gastric Cancer |
| Author |
Mikitaka Iguchi |
Department of Gastroenterology, Wakayama Medical University |
| Author |
Takeichi Yoshida |
Department of Gastroenterology, Wakayama Medical University |
| Author |
Takao Maekita |
Department of Gastroenterology, Wakayama Medical University |
| Author |
Jun Kato |
Department of Gastroenterology, Wakayama Medical University |
| Author |
Masao Ichinose |
Graduate School of Medicine, Teikyo University |
| Author |
Masayuki Kitano |
Department of Gastroenterology, Wakayama Medical University |
| [ Summary ] |
In the past, in Japan, radiographic screening using upper gastrointestinal radiography with a barium meal was the only method recommended for gastric cancer screening. In the revised 2015 guideline, endoscopy was newly recommended for population‒based and opportunistic screening of the upper gastrointestinal tract. Meanwhile, it has become clear that Helicobacter pylori infection is the major risk factor for the development of gastric cancer. Although there is a possibility that the Helicobacter pylori antibody and serum pepsinogen methods, representing the 'ABC‒methods', can be used for the risk stratification of gastric cancer, these methods were not recommended for population‒based screening. Therefore, careful consideration is required before introducing these serum markers for gastric cancer screening. |