Published online Sep 15, 2000. doi: 10.3748/wjg.v6.iSuppl3.91
Revised: January 10, 2000
Accepted: March 28, 2000
Published online: September 15, 2000
AIM: To study the comprehensive prevention and treatment of gastric cancer among high risk population in the high risk areas.
METHODS: A gastrocarcinoma mass screening was performed in 16 villages of Zhuanghe region. About 50000 population were involved and 3033 cases aged above 35 suffering from gastric diseases, and/or had family history of gastric cancer were screened. Clinical epidemiological investigation, double contrast X-ray, serum pepsinogen monitor, gastroscopic biopsies and histopathologic examinations were adopted in the screening.
RESULTS: The ratio of the examined patients with gastric disorder reached up to 82% and 32 patients with gastric cancer were detected (1.06%) and 18 cases were early gastric cancer (56.25%). Patients with gastric cancer were treated successively. Aside from gastric cancer, several gastric lesions were also detected, which laid a good foundation for further interventional treatment. It was also found in the examination that 93.97% of the local residents were addicted to salted pork and more than 60% of the residents had Hp infection.
CONCLUSION: Gastric diseases, Hp infection of gastric mucosa and eating salted pork are very common in Zhuanghe region. These are very dangerous factors causing gastric cancer. It is feasible to quit eating salted pork and eradicate Hp infection and cure precancerous diseases.