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Direct gastroscopy for detecting gastric cancer in the elderly

张子其 万军 朱成 王孟薇 赵东海 付永和 张建萍 王亚红 吴本俨

中华医学杂志(英文版)2002,Vol.115Issue(1):117-118,2.
中华医学杂志(英文版)2002,Vol.115Issue(1):117-118,2.

Direct gastroscopy for detecting gastric cancer in the elderly

Direct gastroscopy for detecting gastric cancer in the elderly

张子其 1万军 1朱成 1王孟薇 1赵东海 1付永和 1张建萍 1王亚红 1吴本俨1

作者信息

  • 1. Department of Geriatric Gastroenterology, Chinese PLA General Hospital, Beijing 100853, China
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摘要

Abstract

Objective To evaluate the safety and effectiveness of direct gastroscopy for detecting gastric cancer. Methods Clinical screening by direct gastroscopy was performed for gastric cancer (GC) from September 1985 to July 1998. 3048 elderly people were screened. Their age ranged from 60 to 93 years, and 2034 of the 3084 were followed up. Results Ninety-two patients with gastric cancer were discovered by gastroscopy, representing 3.02% of the screened population. The rate of early gastric cancer (EGC) was 63.04% (58/92) of all gastric cancers detected. The rate was up to 79.59% (39/49) on follow-up, and was 74.14% (43/51) in asymptomatic patients with gastric cancer. The excision rate was 88.89% for patients with gastric cancer, and 100% for patients with early gastric cancer. The 5-year survival rate was 91.89% for patients with gastric cancer, and 96.30% for patients with early gastric cancer. Conclusion Clinical screening and follow-up by direct gastroscopy in persons over 60 years of age are a safe and effective method for raising the 5-year survival and detection rate of gastric cancer, especially early gastric cancer.

关键词

gastric cancer/gastroscopy/elderly

Key words

gastric cancer/gastroscopy/elderly

分类

医药卫生

引用本文复制引用

张子其,万军,朱成,王孟薇,赵东海,付永和,张建萍,王亚红,吴本俨..Direct gastroscopy for detecting gastric cancer in the elderly[J].中华医学杂志(英文版),2002,115(1):117-118,2.

中华医学杂志(英文版)

OAMEDLINESCI

0366-6999

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