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Review
. 2022 Mar;34(3):412-419.
doi: 10.1111/den.14063. Epub 2021 Jul 14.

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

Katsuhiro Mabe  1 , Kazuhiko Inoue  2 , Tomoari Kamada  3 , Katsuaki Kato  4 , Mototsugu Kato  5 , Ken Haruma  2   6
Affiliations
Review

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

Katsuhiro Mabe et al. Dig Endosc. 2022 Mar.

Abstract

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.

Keywords: Helicobacter pylori; endoscopy; mass screening; neoplasm; stomach.

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References

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    1. Kamada T, Haruma K, Ito M et al. Time trends in Helicobacter pylori infection and atrophic gastritis over 40 years in Japan. Helicobacter 2015; 20: 192-8.

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