Kotelevets SM. Global strategy for prevention of gastric cancer. World J Clin Cases 2024; 12(30): 6353-6357 [DOI: 10.12998/wjcc.v12.i30.6353]
Corresponding Author of This Article
Sergey M Kotelevets, MD, Associate Professor, Department of Therapy, North Caucasus State Academy, Lenina Street 75/32, Cherkessk 369000, Russia. smkotelevets@mail.ru
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
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: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 26, 2024; 12(30): 6353-6357 Published online Oct 26, 2024. doi: 10.12998/wjcc.v12.i30.6353
Global strategy for prevention of gastric cancer
Sergey M Kotelevets
Sergey M Kotelevets, Department of Therapy, North Caucasus State Academy, Cherkessk 369000, Russia
Author contributions: Kotelevets SM wrote the entire manuscript, and read and approved the final manuscript.
Conflict-of-interest statement: The author declare that they have no potential conflicts of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sergey M Kotelevets, MD, Associate Professor, Department of Therapy, North Caucasus State Academy, Lenina Street 75/32, Cherkessk 369000, Russia. smkotelevets@mail.ru
Received: June 15, 2024 Revised: July 9, 2024 Accepted: July 15, 2024 Published online: October 26, 2024 Processing time: 80 Days and 15.3 Hours
Abstract
Global prevention of gastric cancer needs to increase its level of effectiveness. The prevention strategy should include all stages of primary and secondary prevention. The necessary steps to prevent gastric cancer are the following: Maintaining a healthy lifestyle and diet, avoiding smoking and alcohol; serological screening of Helicobacter pylori infections and eradication; serological screening of atrophic gastritis in the population over 45 years of age and identification of severe atrophic gastritis with a high risk of developing gastric cancer; verification of atrophic gastritis and precancerous changes in the gastric mucosa using modern endoscopic (confocal laser endomicroscopy, narrow-spectrum imaging, and magnifying endoscopy) and morphological methods among patients with severe atrophic gastritis who were identified using serological screening; treatment of patients with atrophic gastritis during diagnosis verification; annual endoscopic and morphological monitoring of patients with atrophic gastritis during permanent treatment; annual serological monitoring of patients with atrophic gastritis who refused endoscopic and morphological monitoring; and radical treatment of patients with verified early gastric cancer. Ways to implement the algorithm for the global strategy for the prevention of gastric cancer (protocol of practical recommendations) are: State, government, and municipal programs; departmental programs of health departments; family doctors for patients who have a contract at the initiative of the doctor; family doctors for patients with a contract at the patient’s initiative; and within private healthcare system where both doctors and patients can initiate the implementation of algorithm.
Core Tip: Many different models of primary and secondary prevention of gastric cancer have been proposed at present. However, there is no global consistent strategy and protocol for practical recommendations. The lack of a specific concept does not effectively reduce the incidence and mortality of gastric cancer. In this article, the author proposes a global preventive strategy for the prevention of gastric cancer and ways to implement it. The article also contains an algorithm of actions that takes into account the individual conditions of its use.
