Nakajima Shigemi
Department of General Medicine, Social Insurance Shiga Hospital, Japan.
Nihon Rinsho. 2012 Oct;70(10):1686-93.
The screening rate of gastric cancer in the population surveyed by Japanese government was 34.3% in 2010. The rates differed by medical insurance holders: 60-70% in the big-company insurances; 32% in the national government-assisted small-company insurances; 10% in the local government-assisted non-company individual insurances and the dependents of any insurance holders. The only method of gastric cancer mass screening that Japanese government approves now is sodium bicarbonate-barium X-ray examination. The rate diagnosed as gastric cancer in the system was 0.088% in 2009. A new strategy using serum tests for pepsinogens and Helicobacter pylori-antibody has been proposed. Test and eradication may be the best method for screening high-risk subjects and primary prevention of gastric cancer, and the subsequent cancer screening.
2010年，日本政府调查人群中的胃癌筛查率为34.3%。不同医疗保险参保者的筛查率有所不同：大企业保险参保者的筛查率为60% - 70%；国家政府扶持的小企业保险参保者的筛查率为32%；地方政府扶持的非企业个人保险参保者及其家属的筛查率为10%。日本政府目前批准的唯一胃癌大规模筛查方法是碳酸氢钠 - 钡餐X线检查。2009年，该系统中被诊断为胃癌的比例为0.088%。一种使用胃蛋白酶原和幽门螺杆菌抗体血清检测的新策略已被提出。检测和根除可能是筛查高危人群和胃癌一级预防以及后续癌症筛查的最佳方法。
