Endoscopic screening for gastric cancer in Japan: Current status and future perspectives

The revised 2014 Japanese Guidelines for Gastric Cancer Screening approved gastric endoscopy for use in population‐based screening. Thus, it is expected that gastric cancer will be detected earlier, and gastric cancer mortality further decreased, with the widespread use of endoscopy and Helicobacter...

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Bibliographic Details
Published in:Digestive endoscopy 2022-03, Vol.34 (3), p.412-419
Main Authors: Mabe, Katsuhiro, Inoue, Kazuhiko, Kamada, Tomoari, Kato, Katsuaki, Kato, Mototsugu, Haruma, Ken
Format: Article
Language:English
Subjects:
Aged
Early Detection of Cancer
endoscopy
Endoscopy, Gastrointestinal
Helicobacter Infections - diagnosis
Helicobacter Infections - epidemiology
Helicobacter pylori
Humans
Japan - epidemiology
mass screening
neoplasm
stomach
Stomach Neoplasms - diagnosis
Stomach Neoplasms - epidemiology
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Summary:The revised 2014 Japanese Guidelines for Gastric Cancer Screening approved gastric endoscopy for use in population‐based screening. Thus, it is expected that gastric cancer will be detected earlier, and gastric cancer mortality further decreased, with the widespread use of endoscopy and Helicobacter pylori eradication therapy. However, due to an increasingly aging population and relatively low gastric cancer screening rates, gastric cancer remains the leading cause of cancer death in Japan. While the era of endoscopic gastric cancer screening has begun, it does present challenges, such as limited/varying regional availability of endoscopists. This review describes the history of gastric cancer screening in Japan, achievements in endoscopic gastric cancer screening in Japan and Korea, efforts underway to improve screening by stratifying individuals according to gastric cancer risk, and initiatives by the Japan Gastroenterological Endoscopy Society aimed at improving screening, including the implementation of a board certification program for screening endoscopists.
ISSN:0915-5635
1443-1661
DOI:10.1111/den.14063