{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282680245910656.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11404/jsgcs.49.205"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"11037065"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/11037065"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I11037065"}},{"identifier":{"@type":"NAID","@value":"10029387774"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2011167310"}}],"dc:title":[{"@language":"ja","@value":"島嶼沖縄県における胃・大腸がん検診の現状と今後の課題"},{"@language":"en","@value":"Current status and problems of gastric and colorectal cancer mass screenings in the Okinawa Archipelago"},{"@value":"第49回[日本消化器がん検診学会]総会 会長講演 島嶼沖縄県における胃・大腸がん検診の現状と今後の課題"},{"@language":"ja-Kana","@value":"ダイ49カイ ニホン ショウカキ ガン ケンシン ガッカイ ソウカイ カイチョウ コウエン トウショオキナワケン ニ オケル イ ダイチョウ ガン ケンシン ノ ゲンジョウ ト コンゴ ノ カダイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"X-ray examination has been widely applied in gastric cancer screening all over Japan. However, on some small islands of the Okinawa Archipelago, this procedure has been impossible to carry out for technical reasons. Therefore, since 1981, the gastrointestinal department of the University of the Ryukyus Hospital has conducted endoscopic examinations in gastric cancer screenings in order to contribute to the health care of the residents of those islands and the epidemiological and clinical studies of gastric cancer mass screening.<BR>We performed 7,082 endoscopic examinations for a total of 6,444 residents on 9 islands in gastric cancer mass screenings conducted from 1981 to 1989. During this period, we diagnosed 6 cases of esophageal cancer and 18 cases of early gastric cancer. Notably, in our work on Yonaguni Island, we diagnosed 7 cases of gastric cancer over a period of 5 years of endoscopic mass screenings, whereas no case of gastric cancer was identified within the subsequent 8 years of X-ray mass screenings.<BR>Colorectal cancer mass screenings have been conducted in Japan since 1992, but they were not performed on the Yaeyama Islands until 1996 because of the insufficient supply of equipment and personnel required for colonoscopic examinations. Therefore, we performed thorough colonoscopic examinations for 180 examinees over the course of 5 weekends, and identified 23 cases of colorectal cancer, including 11 cases of early cancer.<BR>These results clearly indicate that endoscopic examination in gastrointestinal cancer mass screenings has contributed to the health of the residents of a region where X-ray mass examination is not easily accessible. On the other hand, since the consultation rate for cancer mass screenings and detailed examinations is still low, improving the consultation rate is the most important nation-wide challenge today."},{"@language":"ja","@value":"沖縄県においては, わが国では通常に実施されている間接Ｘ線撮影装置による胃がん検診を受けたくても受けられない地域が現在もある。そこで, 琉球大学病院の消化器グループは, 昭和56年の開設当初より, 地域医療に貢献すると同時に疫学的研究や地域医療のあり方に関する臨床研究の立場から, 離島における上部消化管内視鏡検査による食道・胃がん検診をスタートした。平成元年度末までに9離島で6,444名の島民に延べ7,082件の内視鏡による胃がん検診を実施した。治癒可能な6例の食道癌, 18例の早期胃癌を発見した。与那国地区においては5回の内視鏡による胃がん検診で7例の癌が発見・治療された後, 間接Ｘ線検査による胃がん検診が行われているが, 胃癌の発見は8年間で1例もなかった。<BR>わが国では老人保健事業に基づいて平成4年度から大腸がん検診が行われていたが, 大腸内視鏡検査による精密検査の対応が十分でないとの理由で八重山地区では平成8年度まで大腸がん検診が実施されていなかった。そこで, われわれは, 5週間の土・日曜日を返上して180名の要精検者の全大腸内視鏡検査を現地へ出張して行った。早期癌11例を含む大腸癌23例を発見した。<BR>しかし, 沖縄県のみならずわが国全体の重要な課題として, 現在のがん検診システムにおいても治癒可能な早期癌の発見が行われているにも関わらず, 受診率および精検受診率の低迷があることである。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001204198081280","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000003748645"},{"@type":"NRID","@value":"9000261042041"},{"@type":"NRID","@value":"9000255802996"},{"@type":"NRID","@value":"9000020944400"},{"@type":"NRID","@value":"9000021828407"}],"foaf:name":[{"@language":"ja","@value":"金城 福則"},{"@language":"en","@value":"KINJO Fukunori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Endoscopy, University of the Ryukyus Hospital"},{"@language":"ja","@value":"琉球大学医学部附属病院 光学医療診療部"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"18807666"},{"@type":"EISSN","@value":"21851190"},{"@type":"NDL_BIB_ID","@value":"000008024092"},{"@type":"ISSN","@value":"18807666"},{"@type":"LISSN","@value":"18807666"},{"@type":"NCID","@value":"AA12134881"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Shoukaki Gan Kenshin Gakkai zasshi"},{"@language":"ja","@value":"日本消化器がん検診学会雑誌"},{"@language":"en","@value":"Nihon Shoukaki Gan Kenshin Gakkai zasshi"},{"@language":"en","@value":"Journal of Gastroenterological Cancer Screening"},{"@language":"en","@value":"J Gastroenterol Cancer Screen"},{"@language":"ja","@value":"日消がん検診誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Society of Gastrointestinal Cancer Screening"},{"@language":"ja","@value":"一般社団法人 日本消化器がん検診学会"}],"prism:publicationDate":"2011","prism:volume":"49","prism:number":"2","prism:startingPage":"205","prism:endingPage":"217"},"url":[{"@id":"http://id.ndl.go.jp/bib/11037065"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I11037065"},{"@id":"https://search.jamas.or.jp/link/ui/2011167310"}],"availableAt":"2011","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%83%83%E3%81%8C%E3%82%93%E6%A4%9C%E8%A8%BA","dc:title":"胃がん検診"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%A4%A7%E8%85%B8%E3%81%8C%E3%82%93%E6%A4%9C%E8%A8%BA","dc:title":"大腸がん検診"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%86%85%E8%A6%96%E9%8F%A1%E6%A4%9C%E6%9F%BB","dc:title":"内視鏡検査"},{"@id":"https://cir.nii.ac.jp/all?q=mass%20screening%20for%20gastric%20cancer","dc:title":"mass screening for gastric cancer"},{"@id":"https://cir.nii.ac.jp/all?q=mass%20screening%20for%20colorectal%20cancer","dc:title":"mass screening for colorectal cancer"},{"@id":"https://cir.nii.ac.jp/all?q=endoscopy","dc:title":"endoscopy"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1570009750079529472","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"胃集検をさらに発展させるためには-沖縄県離島における上部消化管内視鏡集検成績の検討から-"}]},{"@id":"https://cir.nii.ac.jp/crid/1570291225056234880","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"沖縄県, 諸離島における上部消化管内視鏡集検成績についての検討"}]},{"@id":"https://cir.nii.ac.jp/crid/1572261549893210112","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"沖縄県一離島における胃内視鏡検診の検討"}]},{"@id":"https://cir.nii.ac.jp/crid/1573668924159418112","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"大陽がん検診にかける全大陽内視鏡検査による出張精密検査の有用性-平成9年度石垣市大陽がん検診成績の検討から-"},{"@language":"en","@value":"A role of total colonoscopy as adiagnostic test in mass screenig program for colorectal cancer in lshigaki islands"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0036590885"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I11037065"},{"@type":"CIA","@value":"10029387774"}]}