Yamaki Goro, Higashi Kaoru
Dept. of Gastroenterology, Tokyo Kenbikyoin Foundation, 4-8-32 Kudan-minami, Chiyoda-ku, Tokyo 102-8288, Japan.
Gan To Kagaku Ryoho. 2002 Nov;29(11):1883-7.
Now we have two methods for gastric cancer screening. One is radiological study and another is pepsinogen test. The efficacy of radiological study has been established by the curve of mortality rate of gastric cancer through these four decades. But it is problem for this study that the number of the participants has reduced and the patients who take the examination have been fixed. On the other hand, pepsinogen test is very easy and cheap to take the results. But the efficacy of this is not established, because this test started only twelve years before. According to our research, both tests have the pros and cons. So it is necessary to use both methods to do mass screening of gastric cancer. The capsule endoscopy, which was developed in these years, has held great possibility. It will be used practically near future.
目前我们有两种胃癌筛查方法。一种是影像学检查,另一种是胃蛋白酶原检测。通过这四十年来胃癌死亡率曲线已证实了影像学检查的效果。但这项研究存在的问题是参与者数量减少,且接受检查的患者群体固定。另一方面,胃蛋白酶原检测操作非常简便,获取结果成本低廉。但由于该检测仅开展了十二年,其效果尚未得到证实。根据我们的研究,两种检测各有优缺点。因此,有必要同时使用这两种方法进行胃癌大规模筛查。近年来研发的胶囊内镜具有很大的应用潜力。在不久的将来它将得到实际应用。