Comparative study on the accuracy of gastroscopic screenings performed by physicians with different degrees of experience.
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概要
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The accuracy of stomach examinations, including biopsies, is an important issue for the standardization of gastric endoscopy. In this study, we evaluated the endoscopic examinations of the stomach performed mainly within the framework of comprehensive medical examinations, and compared the accuracy of examinations conducted by physicians with different years of experience in interpreting endoscopic images, using data obtained during the past 3 years at our center. The cancer detection rate was 0.18%, and the percentage of early cancer was 89.9%. These percentages were higher than those for radiography. Half of the early cancer cases (49.2%) were detected during annual health check-ups, indicating the importance of annual examinations for the detection of early cancer. Radical endoscopic treatment was possible in 46.4% of the gastric cancers detected, suggesting that a high quality of life (QOL) was attained. For the physicians with many years of experience in interpreting endoscopic images, the biopsy rate was low, and the cancer detection rate and the accuracy of positive diagnosis were high. To prevent the occurrence of accidental health problems due to the examination procedure, unnecessary biopsy, complications due to biopsy, or false negatives, endoscopic examinations should be performed by physicians with many years of experience in interpreting endoscopic images.
- 一般社団法人 日本消化器がん検診学会の論文
一般社団法人 日本消化器がん検診学会 | 論文
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