Analysis of the gastric mass survey for the elderly people

概要

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Considering the current status of population aging, it is important to reassess the gastric mass survey for the elderly people. In this study, we investigated the record of gastric mass survey for the elderly people and cited some problems and further directions. In result, we cosidered that the elderly people are high risk group of gastric carcinoma and that mass survey is used efficiently for detection of the early lesions in especially 70's. In terms of the features of early gastric carcinomas and check-up history, treatment with endoscopic mucosal resection is expected to increase in the elderly. As to advanced carcinomas, the elderly groups are becoming to receive aggressive treatment similar to that in the under age of 70 due to recent therapeutic progress. However, death rate from gastric carcinoma in the elderly remain high. We would like to emphasize that the advise the elderly persons who have never check for cancer to undergo a X-ray mass examination is required and that the introduction of mass suvey by using endoscopy should be discussed. Additionally for the future, it is important to create a new mass survey system according to the needs of the elderly people.
一般社団法人日本消化器がん検診学会の論文