Kakushima Naomi, Fujishiro Mitsuhiro, Chan Shannon Melissa, Cortas George Adel, Dinis-Ribeiro Mario, Gonzalez Robinson, Kodashima Shinya, Lee Sun-Young, Linghu Enqiang, Mabe Katsuhiro, Pan Wensheng, Parra-Blanco Adolfo, Pioche Mathieu, Rollan Antonio, Sumiyama Kazuki, Tanimoto Miguel
Department of Gastroenterology and Hepatology Nagoya University Graduate School of Medicine Aichi Japan.
Department of Surgery Prince of Wales Hospital The Chinese University of Hong Kong Shatin Hong Kong.
DEN Open. 2022 Feb 24;2(1):e97. doi: 10.1002/deo2.97. eCollection 2022 Apr.
The World Endoscopy Organization Stomach and Duodenal Diseases Committee extracted minimum elements for screening and diagnosis of gastric cancer (GC) in aim to support countries that do not have national guidelines on screening and diagnosis of GC. Current national or international guidelines were collected worldwide and recommendations were classified according to the quality of evidence and were finalized through a modified Delphi method. The minimum elements consist of seven categories: [1] Extraction of high-risk patients of GC before esophagogastroduodenoscopy (EGD), [2] Patients who need surveillance of GC, [3] Method to ensure quality of EGD for detection of GC, [4] Individual GC risk assessment by EGD, [5] Extraction of high-risk patients of GC after EGD [6] Qualitative or differential diagnosis of GC by EGD, and [7] Endoscopic assessment to choose the therapeutic strategy for GC. These minimum elements will be a guide to promote the elimination of GC among countries with a high incidence of GC who lack national guidelines or screening programs.
世界内镜组织胃与十二指肠疾病委员会提取了胃癌（GC）筛查与诊断的最低要素，旨在支持那些没有国家胃癌筛查与诊断指南的国家。在全球范围内收集了当前的国家或国际指南，并根据证据质量对建议进行分类，通过改良的德尔菲法最终确定。最低要素包括七类：[1]在食管胃十二指肠镜检查（EGD）前提取胃癌高危患者；[2]需要进行胃癌监测的患者；[3]确保用于检测胃癌的EGD质量的方法；[4]通过EGD进行个体胃癌风险评估；[5]EGD后提取胃癌高危患者；[6]通过EGD对胃癌进行定性或鉴别诊断；[7]内镜评估以选择胃癌的治疗策略。这些最低要素将成为指南，推动在缺乏国家指南或筛查计划、胃癌发病率高的国家消除胃癌。
