Identifying high-risk individuals for gastric cancer surveillance from western and eastern perspectives: Lessons to learn and possibility to develop an integrated approach for daily practice

World Journal of Gastroenterology : WJG
D T QuachTakuji Gotoda

Abstract

Current evidence shows that individuals with gastric dysplasia, severe and extensive gastric atrophy, extensive gastric intestinal metaplasia and the incomplete subtype of intestinal metaplasia are at high risk for gastric cancer (GC) development. There are several approaches to identifying these subjects, including noninvasive methods, esophagogastroduodenoscopy and histology. The main approach in Western countries is histology-based while that in Eastern countries with a high prevalence of GC is endoscopy-based. Regarding asymptomatic individuals, the key issues in selecting applicable approaches are the ability to reduce GC mortality and the cost-effectiveness of the approach. At present, population-based screening programs have only been applied in a few Asian countries with a high risk of GC. Pre-endoscopic risk assessment based on demographic and clinical features, such as ethnicity, age, gender, smoking and Helicobacter pylori status, is helpful for identifying subjects with high pre-test probability for a possibly cost-effective approach, especially in intermediate- and low-risk countries. Regarding symptomatic patients with indications for esophagogastroduodenoscopy, the importance of opportunistic screening should be ...Continue Reading

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Citations

Sep 29, 2020·World Journal of Gastroenterology : WJG·Osamu ToyoshimaKazuhiko Koike
Mar 15, 2021·Clinics and Research in Hepatology and Gastroenterology·Orianne PlanadeYann Touchefeu
Apr 1, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Massimo RuggePeter Malfertheiner
Jun 18, 2021·Canadian Journal of Gastroenterology & Hepatology·Md ZeyaullahIrfan Ahmad
Jun 19, 2021·Journal of Taibah University Medical Sciences·Maria Aparecida A O SerraMárcio Flávio M Araújo
Jun 29, 2021·International Journal of Cancer. Journal International Du Cancer·Jianhua GuWenqiang Wei
Dec 29, 2020·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Pedro Genaro Delgado-GuillenaGloria Fernández-Esparrach
Nov 24, 2021·Asia-Pacific Journal of Clinical Oncology·Mai Ngoc LuuToru Hiyama

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Methods Mentioned

BETA
biopsy
biopsies

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Atrophic Gastritis

Atrophic Gastritis is a process where gastric glandular cells are lost and replaced with firbous tissues, as a result of chronic inflammation. Learn more about Atrophic Gastritis here.

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