Identifying high-risk individuals for gastric cancer surveillance from western and eastern perspectives: Lessons to learn and possibility to develop an integrated approach for daily practice

被引:23
作者
Duc Trong Quach [1 ]
Hiyama, Toru [2 ]
Gotoda, Takuji [3 ]
机构
[1] Univ Med & Pharm Hochiminh City, Dept Internal Med, 217 Hong Bang St,Dist 5, Ho Chi Minh 70000, Vietnam
[2] Hiroshima Univ, Hlth Serv Ctr, Higashihiroshima 7398514, Japan
[3] Nihon Univ, Sch Med, Div Gastroenterol & Hepatol, Dept Med, Tokyo 1018309, Japan
关键词
Gastric cancer; Precancerous gastric lesions; Dysplasia; Gastric atrophy; Chronic atrophic gastritis; Intestinal metaplasia; Surveillance; Screening; Cost-effective; HELICOBACTER-PYLORI INFECTION; WHITE-LIGHT ENDOSCOPY; INTESTINAL METAPLASIA; FOLLOW-UP; INTEROBSERVER VARIATION; HISTOLOGICAL ATROPHY; SERUM PEPSINOGEN; LONG-TERM; DIAGNOSIS; LESIONS;
D O I
10.3748/wjg.v25.i27.3546
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Current evidence shows that individuals with gastric dysplasia, severe and extensive gastric atrophy, extensive gastric intestinal metaplasia and the incomplete subtype of intestinal metaplasia are at high risk for gastric cancer (GC) development. There are several approaches to identifying these subjects, including noninvasive methods, esophagogastroduodenoscopy and histology. The main approach in Western countries is histology-based while that in Eastern countries with a high prevalence of GC is endoscopy-based. Regarding asymptomatic individuals, the key issues in selecting applicable approaches are the ability to reduce GC mortality and the cost-effectiveness of the approach. At present, population-based screening programs have only been applied in a few Asian countries with a high risk of GC. Pre-endoscopic risk assessment based on demographic and clinical features, such as ethnicity, age, gender, smoking and Helicobacter pylori status, is helpful for identifying subjects with high pre-test probability for a possibly cost-effective approach, especially in intermediate- and low-risk countries. Regarding symptomatic patients with indications for esophagogastroduodenoscopy, the importance of opportunistic screening should be emphasized. The combination of endoscopic and histological approaches should always be considered as endoscopy provides a real-time assessment of the patient's risk level. In addition, imaging enhanced endoscopy (IEE) has been shown to facilitate targeted biopsies resulting in better correlation between endoscopic and histological findings. Currently, the use of IEE is recommended for endoscopic examinations, and the Operative Link for Gastric Intestinal Metaplasia or Operative Link on Gastritis Assessment grading systems are recommended for histological examinations whenever available. However, resource limitations are an important barrier in many regions worldwide. Thus, for an approach to be applicable in real-life practice, it should be not only evidence-based but also resource-sensitive. In this review, we discuss the current understanding and approaches to identifying high-risk individuals from western and eastern perspectives, as well as the possibility of an integrated, resource-sensitive approach.
引用
收藏
页码:3546 / 3562
页数:17
相关论文
共 83 条
[1]   Rationale in diagnosis and screening of atrophic gastritis with stomach-specific plasma biomarkers [J].
Agreus, Lars ;
Kuipers, Ernst J. ;
Kupcinskas, Limas ;
Malfertheiner, Peter ;
Di Mario, Francesco ;
Leja, Marcis ;
Mahachai, Varocha ;
Yaron, Niv ;
van Oijen, Martijn ;
Perez, Guillermo Perez ;
Rugge, Massimo ;
Ronkainen, Jukka ;
Salaspuro, Mikko ;
Sipponen, Pentti ;
Sugano, Kentaro ;
Sung, Joseph .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2012, 47 (02) :136-147
[2]   OBSERVER VARIATION IN THE ASSESSMENT OF CHRONIC GASTRITIS ACCORDING TO THE SYDNEY SYSTEM [J].
ANDREW, A ;
WYATT, JI ;
DIXON, MF .
HISTOPATHOLOGY, 1994, 25 (04) :317-322
[3]   A multicenter randomized comparison between high-definition white light endoscopy and narrow band imaging for detection of gastric lesions [J].
Ang, Tiing Leong ;
Pittayanon, Rapat ;
Lau, James Yun Wong ;
Rerknimitr, Rungsun ;
Ho, Shiaw Hooi ;
Singh, Rajvinder ;
Kwek, Andrew Boon Eu ;
Ang, Daphne Shih Wen ;
Chiu, Philip Wai Yan ;
Luk, Sally ;
Goh, Khean Lee ;
Ong, Jeannie Peng Lan ;
Tan, Jessica Yi-Lyn ;
Teo, Eng Kiong ;
Fock, Kwong Ming .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2015, 27 (12) :1473-1478
[4]   Racial differences in Helicobacter pylori, serum pepsinogen and gastric cancer incidence in an urban Asian population [J].
Ang, TL ;
Fock, KM ;
Dhamodaran, S ;
Teo, EK ;
Tan, J .
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2005, 20 (10) :1603-1609
[5]   Endoscopic screening for gastric cancer: A cost-utility analysis for countries with an intermediate gastric cancer risk [J].
Areia, Miguel ;
Spaander, Manon C. W. ;
Kuipers, Ernst J. ;
Dinis-Ribeiro, Mario .
UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, 2018, 6 (02) :192-202
[6]   Alarm features and age for predicting upper gastrointestinal malignancy in Chinese patients with dyspepsia with high background prevalence of Helicobacter pylori infection and upper gastrointestinal malignancy: an endoscopic database review of 102 665 patients from 1996 to 2006 [J].
Bai, Yu ;
Li, Zhao-Shen ;
Zou, Duo-Wu ;
Wu, Ren-Pei ;
Yao, Yin-Zhen ;
Jin, Zhen-Dong ;
Ye, Ping ;
Li, Shu-De ;
Zhang, Wen-Jun ;
Du, Yi-Qi ;
Zhan, Xian-Bao ;
Liu, Feng ;
Gao, Jun ;
Xu, Guo-Ming .
GUT, 2010, 59 (06) :722-728
[7]   Pepsinogen A, pepsinogen C, and gastrin as markers of atrophic chronic gastritis in European dyspeptics [J].
Broutet, N ;
Plebani, M ;
Sakarovitch, C ;
Sipponen, P ;
Mégraud, F .
BRITISH JOURNAL OF CANCER, 2003, 88 (08) :1239-1247
[8]   The staging of gastritis with the OLGA system by using intestinal metaplasia as an accurate alternative for atrophic gastritis [J].
Capelle, Lisette G. ;
de Vries, Annemarie C. ;
Haringsma, Jelle ;
Ter Borg, Frank ;
de Vries, Richard A. ;
Bruno, Marco J. ;
van Dekken, Herman ;
Meijer, Jos ;
van Grieken, Nicole C. T. ;
Kuipers, Ernst J. .
GASTROINTESTINAL ENDOSCOPY, 2010, 71 (07) :1150-1158
[9]   Topographic patterns of intestinal metaplasia and gastric cancer [J].
Cassaro, M ;
Rugge, M ;
Gutierrez, O ;
Leandro, G ;
Graham, DY ;
Genta, RM .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2000, 95 (06) :1431-1438
[10]   Western long-term accuracy of serum pepsinogen-based gastric cancer screening [J].
Castro, Clara ;
Dinis-Ribeiro, Mario ;
Rodrigues, Antonio N. G. ;
Calheiros, Tiago ;
Santos, Joao ;
Pereira, Pedro ;
Ramos, Mariana ;
Cunha, Hugo ;
Andrade, Mara ;
Costa, Anita ;
Sa, Ligia ;
Antunes, Luis ;
Bento, Maria J. ;
Lomba-Viana, Rafael .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2018, 30 (03) :274-277