Yao Kenshi, Uedo Noriya, Kamada Tomoari, Hirasawa Toshiaki, Nagahama Takashi, Yoshinaga Shigetaka, Oka Masashi, Inoue Kazuhiko, Mabe Katsuhiro, Yao Takashi, Yoshida Masahiro, Miyashiro Isao, Fujimoto Kazuma, Tajiri Hisao
Japan Gastroenterological Endoscopy Society, Tokyo, Japan.
Dig Endosc. 2020 Jul;32(5):663-698. doi: 10.1111/den.13684.
The Japan Gastroenterological Endoscopy Society developed the Guideline for Endoscopic Diagnosis of Early Gastric Cancer based on scientific methods. Endoscopy for the diagnosis of early gastric cancer has been acknowledged as a useful and highly precise examination, and its use has become increasingly more common in recent years. However, the level of evidence in this field is low, and it is often necessary to determine recommendations based on expert consensus only. This clinical practice guideline consists of the following sections to provide the current guideline: [I] Risk stratification of gastric cancer before endoscopic examination, [II] Detection of early gastric cancer, [III] Qualitative diagnosis of early gastric cancer, [IV] Diagnosis to choose the therapeutic strategy for gastric cancer, [V] Risk stratification after endoscopic examination, and [VI] Surveillance of early gastric cancer.
日本胃肠内镜学会基于科学方法制定了早期胃癌内镜诊断指南。用于早期胃癌诊断的内镜检查已被公认为是一种有用且高度精确的检查方法,近年来其应用越来越普遍。然而,该领域的证据水平较低,通常仅需根据专家共识来确定建议。本临床实践指南由以下部分组成,以提供当前指南:[I]内镜检查前胃癌的风险分层,[II]早期胃癌的检测,[III]早期胃癌的定性诊断,[IV]选择胃癌治疗策略的诊断,[V]内镜检查后的风险分层,以及[VI]早期胃癌的监测。