{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T05:59:22Z","timestamp":1774072762088,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2016,4,17]],"date-time":"2016-04-17T00:00:00Z","timestamp":1460851200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>The mortality rate of gastric cancer (GC) is close to the incidence rate worldwide. However, in <jats:styled-content style=\"fixed-case\">Korea<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">Japan<\/jats:styled-content>, the mortality rate of GC is less than half of the incidence rate. We hypothesized that good\u2010quality routine esophagogastroduodenoscopy (EGD) contributes to a high detection rate for early GC (EGC) and improves mortality in these countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To clarify the differences in routine EGD, a questionnaire survey was conducted in 98 <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> and 53 international institutions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prevalence of screening examination among routine EGD was higher in <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> than in international institutions. <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> endoscopists noted that endoscopic mucosal atrophy was the most significant risk factor for GC, whereas international endoscopists paid more attention to clinical information such as age, symptoms and family history. Antispasmodics, mucolytics and defoaming agents were used more frequently in <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> institutions. The examination time was similar (mostly 5\u201310\u00a0min) between <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> and international institutions. <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> endoscopists took more pictures (&gt;20 in almost all institutions) than international endoscopists (\u226420 in two\u2010thirds of institutions). In <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> institutions, biopsy specimens were more frequently taken from areas of mucosal discoloration, unevenness or spontaneous bleeding rather than from obvious endoscopic lesions such as ulceration or polyps. In most <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> institutions, one or two biopsy specimens were taken per lesion, compared with \u2265three in international institutions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There were some discrepancies between <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> and international institutions for routine EGD. Thus, standardization is required for adequate risk assessment, proper techniques, and knowledge of endoscopic diagnosis of EGC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.12629","type":"journal-article","created":{"date-parts":[[2016,2,9]],"date-time":"2016-02-09T08:46:07Z","timestamp":1455007567000},"page":"16-24","source":"Crossref","is-referenced-by-count":32,"title":["Differences in routine esophagogastroduodenoscopy between <scp>Japanese<\/scp> and international facilities: A questionnaire survey"],"prefix":"10.1111","volume":"28","author":[{"given":"Noriya","family":"Uedo","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Oncology Osaka Medical Center for Cancer and Cardiovascular Disease  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuji","family":"Gotoda","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigetaka","family":"Yoshinaga","sequence":"additional","affiliation":[{"name":"Endoscopy Division National Cancer Center Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tokuma","family":"Tanuma","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Teine Keijinkai Hospital  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinori","family":"Morita","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisashi","family":"Doyama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Ishikawa Prefectural Central Hospital  Kanazawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Aso","sequence":"additional","affiliation":[{"name":"Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Hirasawa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Cancer Institute Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomonori","family":"Yano","sequence":"additional","affiliation":[{"name":"Endoscopy Division, Department of Gastroenterology National Cancer Center Hospital East  Kashiwa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihisa","family":"Uchita","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Kochi Red Cross Hospital  Kochi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiaw\u2010Hooi","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping\u2010Hsin","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine Chimei Medical Center  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,17]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"GLOBOCAN2012. 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