Abstract
Shizuoka city introduced endoscopic screening in April 2012 in addition to conventional X-ray gastric cancer screening. As the city government is positive in introducing endoscopic screening, it has been smoothly implemented in cooperation with the medical association and public hospitals. In the 3 years since its start, the percentage of examinees has increased from 7.1% (13,840/194,930) to 10.5% (20,444/195,200). Also in the data during the fiscal years of 2012 and 2013, while the detection rate of gastric cancer by X-ray screening was 0.06% (17/29,008), that of endoscopic screening was significantly higher at 0.18% (19/10,272). The Gastric Cancer Screening Accuracy Control Committee is currently trying to change the minds of screening member doctors to accelerate eradication therapy by performing “Screening of H.pylori infected gastritis” simultaneously in regular gastric cancer screening. Whereas an increase in the number of examinees selecting endoscopic screening is expected, our task will be accuracy control including technical improvements of endoscopists and securing such endoscopists. In addition, ABC classification should be adopted for efficient screening operation.
