DEN Open (Apr 2022)

Proposal of minimum elements for screening and diagnosis of gastric cancer by an international Delphi consensus

  • Naomi Kakushima,
  • Mitsuhiro Fujishiro,
  • Shannon Melissa Chan,
  • George Adel Cortas,
  • Mario Dinis‐Ribeiro,
  • Robinson Gonzalez,
  • Shinya Kodashima,
  • Sun‐Young Lee,
  • Enqiang Linghu,
  • Katsuhiro Mabe,
  • Wensheng Pan,
  • Adolfo Parra‐Blanco,
  • Mathieu Pioche,
  • Antonio Rollan,
  • Kazuki Sumiyama,
  • Miguel Tanimoto,
  • World Endoscopy Organization Stomach and Duodenal Diseases Committee

DOI
https://doi.org/10.1002/deo2.97
Journal volume & issue
Vol. 2, no. 1
pp. n/a – n/a

Abstract

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Abstract 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.

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