Pitfalls of Advanced Endoscopy Technologies in Gastrointestinal Cancer Screening

The prevalence of H. pylori infection has been decreasing in Japan (4), and mass screening using endoscopy will become less cost-effective and a greater burden due to low PPV and high false positivity. Because the incidence of gastric cancer was different according to H. pylori infection and H. pylo...

Full description

Saved in:
Bibliographic Details
Published inThe American journal of gastroenterology Vol. 118; no. 2; pp. 371 - 372
Main Authors Ishii, Naoki, Yano, Takahiko, Shiratori, Yasutoshi, Omata, Fumio
Format Journal Article
LanguageEnglish
Published United States Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01.02.2023
Subjects
Artificial intelligence
Colonoscopy
Early Detection of Cancer
Endoscopy
Endoscopy, Gastrointestinal
Fishing equipment
Gastric cancer
Gastroenterology
Gastrointestinal Neoplasms - diagnosis
Humans
Infections
Medical screening
Public health
Tumors
Japan
Online AccessGet full text

Cover

More Information
Summary:The prevalence of H. pylori infection has been decreasing in Japan (4), and mass screening using endoscopy will become less cost-effective and a greater burden due to low PPV and high false positivity. Because the incidence of gastric cancer was different according to H. pylori infection and H. pylori-associated gastritis, introduction of the ABC method using H. pylori antibody and pepsinogen is considered useful for the identification of a high-risk group of gastric cancer, which can lead to cost-efficient endoscopy screening and also reduce potential harm in a low-risk population (5). See PDF] The association between endoscopy technologies and public health views on disease prevalence resembles that between fishing equipment and fish finder. Changing trends in the prevalence of H. pylori infection in Japan (1908-2003): A systematic review and meta-regression analysis of 170,752 individuals.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0002-9270
1572-0241
DOI:10.14309/ajg.0000000000002046