Clinical Gastroenterology Vol.32 No.12(3)

Theme Current Status and Future Perspectives of Endoscopic Screening
Title What is Acceptable Endoscopic Screening? -- Comparison between Transnasal Endoscopy and Sedative Endoscopy
Publish Date 2017/11
Author Masao Kobayashi Department of Health Care, Kyoto Second Red Cross Hospital
Author Naomi Mochizuki Department of Health Care, Kyoto Second Red Cross Hospital
Author Mai Kamaguchi Department of Health Care, Kyoto Second Red Cross Hospital
Author Kenichi Nishioji Department of Health Care, Kyoto Second Red Cross Hospital
[ Summary ] According to guidelines established by the Ministry of Health, Labor and Welfare in 2016, endoscopy can be used for population‒based screening for stomach cancer.
Although endoscopic screening is mainly performed using oral endoscopy, recently, transnasal endoscopy has also been introduced, and the number of examinees is increasing due to its acceptability. Transnasal endoscopy contributes considerably to improving the percentage of examinees screened for stomach cancer.
On the other hand, demand for sedative endoscopy is also increasing in view of examinees' needs for endoscopy with less distress and greater acceptability and satisfaction. However, from the viewpoint of safety, it is difficult to use it for endoscopic screening. Transnasal endoscopy does not differ from oral endoscopy in terms of safety, acceptability, and diagnostic accuracy.
Henceforth, transnasal endoscopy is expected to occupy increasingly important roles in screening for stomach cancer.
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