Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 21, 2019; 25(27): 3546-3562
Published online Jul 21, 2019. doi: 10.3748/wjg.v25.i27.3546
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
Duc Trong Quach, Toru Hiyama, Takuji Gotoda
Duc Trong Quach, Department of Internal Medicine, University of Medicine and Pharmacy at Hochiminh City, Ho Chi Minh 70000, Vietnam
Toru Hiyama, Health Service Center, Hiroshima University, Higashihiroshima 739-8514, Japan
Takuji Gotoda, Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo 101-8309, Japan
Author contributions: Quach DT contributed to study conception and design of the study. All authors contributed to literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: No potential conflicts of interest. No financial support.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Duc Trong Quach, MD, PhD, Associate Professor, Attending Doctor, Senior Lecturer, Department of Internal Medicine, University of Medicine and Pharmacy at Hochiminh City, 217 Hong Bang Street, District 5, Ho Chi Minh 70000, Vietnam.
Telephone: +84-8-38554269 Fax: +84-8-39506126
Received: March 11, 2019
Peer-review started: March 11, 2019
First decision: May 9, 2019
Revised: May 28, 2019
Accepted: June 22, 2019
Article in press: June 23, 2019
Published online: July 21, 2019
Core Tip

Core tip: Current evidence shows that patients 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 development. Key issues in selecting approaches to identifying these subjects are the ability to reduce gastric cancer mortality and cost-effectiveness of the approach. Resource limitations are an important barrier in many regions worldwide. Thus, an applicable approach in real-life practice should be not only evidence-based but also resource-sensitive. In this review, we discuss the current understanding from western and eastern perspectives, and the possibility of an integrated, resource-sensitive approach.