Stomach cancer screening is carried out with the aim of reducing deaths from stomach cancer.

The target audience varies depending on the examination method. Gastroscopy (gastroscopy) is for those aged 50 or older with even numbers , and gastric X-ray examination (examination with barium) is for those aged 35 or older . Approximately one month or more before the month of birth, the city will mail a "Notice of Cancer Screening" to eligible persons. Please see the cancer screening information page for information on how to apply.

In addition, if you receive a "required detailed examination" in the medical examination, be sure to undergo a detailed examination.

What is stomach cancer

Stomach cancer forms in the cells of the innermost mucous membrane of the stomach wall. Cancer cells in the mucous membrane are divided into “early cancer”, which remains in the stomach mucosa, and “advanced cancer,” which has progressed deeper than the muscle layer. Subjective symptoms may not appear at all even if the cancer progresses, or stomach pain, heartburn, and black stools may be seen from an early stage. If you have any of these symptoms, don't wait for a check-up and seek medical attention.

Types of stomach cancer screening

There are two types of gastric cancer screening: gastroscopy (gastric camera) and gastric X-ray examination (barium examination). In both cases, the test will be performed after restricting food from the day before.

Stomach X-ray examination (examination with barium) is available free of charge from the age of 35. Gastroscopy (gastroscopy) can be performed at a copayment of 1,000 yen from 50 years of age to even-numbered years. You cannot receive a gastric X-ray examination (examination with barium) in the year you received a gastroscopy (gastroscope).

• Detailed inspection contents of gastroscopy (gastroscope)
• Detailed contents of gastric X-ray examination (inspection using barium)

Contents of gastric cancer endoscopy (gastroscope)

Gastroscopy (gastroscopy) is for even-numbered people aged 50 and over. You can receive it at a designated medical institution in the city for a copayment of 1,000 yen. After the interview, we will conduct an inspection.

interview

We will ask you about the diseases you are currently undergoing treatment, whether you have any subjective symptoms, diseases you have had in the past, surgeries, family history (whether or not you have a blood relative who has had cancer), etc.

Gastroscopy (gastroscopy)

This is a test in which a long, thin tube (scope) is inserted through the mouth (oral) or nose (transnasal) to directly observe the mucous membrane of the stomach. If a suspicious area is found during the examination, a biopsy (removal of tissue) may be performed immediately.

Examination flow and precautions

• You will receive it at a designated medical institution in Arakawa Ward. Please select and make a reservation from the designated medical institutions for gastroscopy examination. (Please pay the copayment of 1,000 yen at each medical institution.)
• You cannot receive both stomach cancer screening (endoscopy) and stomach cancer screening (barium examination).
• Stomach cancer screening (endoscopy) cannot be performed as a detailed examination after stomach cancer screening (barium examination).
• If a biopsy (examination of cells to extract a part of the lesion) is required for gastric cancer screening (endoscopy), it will be changed to insurance medical treatment, and the medical expenses for insurance medical treatment will be paid by the examinee. will be the burden of
• If you are taking antithrombotic drugs, please be sure to inform us at the time of booking.
• Please inquire at each medical institution regarding oral medications on the day of the examination.
• On the day of the examination, you may not be able to drive a car, motorcycle, or bicycle.

*Please check with each medical institution for details.

How to make an appointment for stomach cancer screening (endoscopy)

1. After confirming the cancer screening information, make an appointment directly with the medical institution.
   Reservations are accepted from the first day of the month before the birthday month. (If the medical institution is closed, from the next hospital opening day)
2. Fill out the stomach endoscopy questionnaire and bring it with you on the day.

*Please let us know at the time of booking if you have any regular medications, allergies, or illnesses during outpatient visits.

Stomach cancer screening (endoscopy) flow

the day before

Please finish your dinner by 9:00 p.m.

that day

• Please don't eat anything in the morning. Please do not smoke.
• You may drink water up to 1 hour before the test. (please refrain from anything other than water)
• Please bring your health insurance card, gastric cancer endoscopy ticket, completed questionnaire, medicine notebook, etc. at the time of consultation.
• Please receive an explanation of the test at the medical institution and sign the consent form.

Inspection results

If there are no abnormalities, it will be mailed in about a month.If a detailed examination is required, the medical institution will contact you. Please take a medical examination and receive an explanation of the results

Those who are not suitable for gastric cancer endoscopy (gastroscope)

• Those who are undergoing treatment for gastric disease or have undergone total gastrectomy
• Those who have a serious disease in the pharynx, nasal cavity, etc., and cannot insert an endoscope.
• Those with heart disease such as acute myocardial infarction or severe arrhythmia
• Those with extremely high blood pressure
• Those with respiratory failure
• Bleeding tendency or suspected
• Those who are in poor general condition and judged to be unable to tolerate gastroscopy
• Those who do not follow the precautions (fasting, etc.) before the examination
• Those who cannot obtain a written consent

Gastric cancer endoscopy (gastric camera) designated medical institution

Please choose from the designated medical institutions for gastroscopy examination in Arakawa Ward, and be sure to make an appointment before undergoing the examination. (Gastroscopy can only be performed at the medical institutions listed below.)

Arakawa Ward Endoscopy Designated Medical Institutions (as of the end of January 2023)

Medical institution name	address	phone	Inspection method
			oral	Nasally
Kimura Hospital	1-1-1 Minamisenju	5615-2111	Oral	Transnasal
Kadota Internal Medicine Clinic	4-7-1 Minamisenju BiVi Minamisenju 3F	5604-1517	Oral	Transnasal
Minamisenju Hospital	5-10-1 Minamisenju	3806-2232	Oral	ー
Kukidome Clinic	6-53-8 Minamisenju	3891-4639	Oral	Transnasal
Tsuchiya Clinic	7-12-15 Minamisenju	3806-9029	Oral	ー
Araki Memorial Tokyo Riverside Hospital	8-4-4 Minamisenju	5850-0311	Oral	ー
Arakawa Surgical Proctology Clinic	4-2-7 Arakawa	3806-8213	Oral	Transnasal
Okada Hospital	5-3-1 Arakawa	3891-2231	Oral	Transnasal
Takeuchi Hospital	6-7-8 Arakawa	3892-7771	Oral	ー
Machiya Marks Tower Clinic	Arakawa 7-46-1-208	6807-7415	Oral	Transnasal
Hori Medical Clinic	1-1-9 Machiya Medical Center Medium Machiya 2F	3895-5400	Oral	ー
Takahashi Clinic	3-2-10 Machiya ISE Building	3810-5665	Oral	ー
Sophia Clinic	4-9-10 Machiya	3892-4514	Oral	ー
Onuma Clinic	Machiya 6-19-15	3895-6603	Oral	ー
Kumanomae Kato Internal Medicine Clinic	Higashiogu 6-39-13	6677-5400	Oral	Transnasal
Ogubashi Clinic	8-19-2 Higashiogu	3800-3020	Oral	Transnasal
Miyanomae Clinic	2-3-2 Nishiogu	3800-7111	Oral	Transnasal
Kawasaki Internal Medicine Clinic	2-14-11 Nishiokyu Raffine 21 1F	6807-7769	Oral	Transnasal
Sato Hospital	Nishiogu 5-7-1	3893-6525	Oral	ー
Oyama Internal Medicine Clinic	1-5-10 Higashi Nippori Suzuki Liquor Building 3A	5850-2030	Oral	Transnasal
Yatagai Clinic	4-20-6 Higashi Nippori	5850-6166	Oral	Transnasal
Mikawashima Tower Clinic	Higashi Nippori 6-1-1 Atlas Brands Tower Mikawashima 2F	3806-1133	Oral	Transnasal
Hasunuma Clinic	6-51-8 Higashi Nippori	3891-1170	Oral	ー
Nippori Clinic	6-60-4 Higashi Nippori	3806-0345	Oral	Transnasal
Sekikawa Hospital	1-4-1 Nishinippori	3803-5151	Oral	ー
Nippori Medical Examination Plaza	2-20-1 Nishinippori Stay Port Tower 4F	5850-1700	Oral	Transnasal

If a detailed inspection is required

An explanation will be given at the medical institution where the gastroscopic examination was performed. Follow your doctor's instructions.

Contents of gastric cancer X-ray examination (barium)

Stomach X-ray examination (examination with barium) is for those aged 35 and over. The examination is carried out at the Cancer Prevention and Health Promotion Center.

interview

We will ask you about the diseases you are currently undergoing treatment, whether you have any subjective symptoms, diseases you have had in the past, surgeries, family history (whether or not you have a blood relative who has had cancer), etc.

Stomach X-ray examination

In this test, an effervescent agent that expands the stomach and barium (contrast agent) are swallowed, and X-rays are taken while the body is moved on an X-ray table to observe the mucous membrane inside the stomach.

Flow of gastric cancer X-ray examination (barium)

1.Before inspection

If you are going to the hospital or taking medication, please be sure to obtain confirmation from your doctor beforehand whether it is okay to take a stomach X-ray. (Some people get sick after being tested without taking medicine or water.)

2. The day before

For dinner, please eat something easy to digest by 9:00 pm. Drinking water is fine.

3.On the day

• Do not eat. (Tobacco, gum, etc. are also not allowed.)
• You may drink 200ml (1 cup) of water or hot water from the time you wake up until 2 hours before the start of the examination.
• If you have heart disease or high blood pressure, please consult your doctor in advance and take this medicine at least 3 hours before your examination. Please take other medicines after the examination. (If the systolic blood pressure is 180 or the diastolic blood pressure is 110 or higher on the day, it may cause complications and cannot be tested.)
• If you have diabetes, do not take any medicines or inject insulin before the examination.
• You can wear undergarments that do not have buttons, metal fittings, or plastic under your examination clothes. Please come in clothes that are easy to change. Please remove accessories.

4. After inspection

• Drink more water than usual on a regular basis.
• Alcohol is a diuretic, so please refrain from it on the day.
• For several days after the examination, check the status of your bowel movements, and if barium is not excreted by the next day, promptly see a medical institution. (In rare cases, barium may cause constipation.)
• Hypersensitivity (allergic symptoms) may occur as a side effect after taking Valium. If you experience symptoms such as hives, edema, or difficulty breathing, please seek medical attention immediately.

Those who are not suitable for gastric cancer X-ray examination (barium)

• Those who are pregnant or may become pregnant
• Those who weigh more than the weight limit of the examination table (130 kg or more)
• Those who have a history of hypersensitivity (hives, shortness of breath, etc.) to barium preparations
• Those who do not follow the precautions before the examination (fasting, etc.) It is also described in "Gastric cancer X-ray (barium) flow" on this page.
• Those who have had colon polyps removed within the past 2 months
• Those who have had intestinal obstruction within one year or those who have repeated intestinal obstruction
• Those who are subject to fluid restriction due to kidney disease (artificial dialysis), etc.
• Those who have developed a disease such as myocardial infarction or cerebral infarction within the past year
• Those who have undergone abdominal/head/thoracic surgery or orthopedic surgery within the past year (including caesarean section)
• Those with constipation (such as those who have not had a bowel movement for 3 days or more on the day of the examination)
• Those who have a systolic blood pressure of 180 mmHg or higher or a diastolic blood pressure of 110 mmHg or higher on the day of the examination
• Those who have had aspiration (barium entering the trachea or lungs) during a medical checkup in the past
• Those who cannot hold a barium cup and drink by themselves
• Those who have difficulty in maintaining a standing position on their own or grasping the handrail of the imaging table
• Those who have difficulty moving according to the instructions of the technician

*Those who have undergone gastric surgery are not suitable for this examination. A gastroscopy is recommended.
*If you are undergoing treatment or follow-up for stomach/duodenum, please consult your family medical institution.

When it comes to close inspection

Please undergo a detailed examination such as a gastroscopy at a medical institution. Diseases other than cancer (gastritis, ulcers, polyps, etc.) can also be found.

Stomach cancer detailed examination cooperation medical institution (as of the end of January, 2023)

Medical institution name	address	phone
Nippon Medical School Hospital	1-1-5 Sendagi, Bunkyo-ku	03-3822-2131
Tokyo Women's Medical University Adachi Medical Center	4-33-1 Kohoku, Adachi-ku	03-3857-0111
Kimura Hospital	1-1-1 Minamisenju	03-5615-2111
Kadota Internal Medicine Clinic	4-7-1 Minamisenju BiVi Minamisenju 3F	03-5604-1517
Minamisenju Hospital	5-10-1 Minamisenju	03-3806-2232
Kukidome Clinic	6-53-8 Minamisenju	03-3891-4639
Tsuchiya Clinic	7-12-15 Minamisenju	03-3806-9029
Araki Memorial Tokyo Riverside Hospital	8-4-4 Minamisenju	03-5850-0311
Mizuno Clinic	1-49-2 Arakawa	03-3891-0219
Internal Medicine for Iido	3-23-13 Arakawa	03-3891-5858
Arakawa Surgical Proctology Clinic	4-2-7 Arakawa	03-3806-8213
Okada Hospital	5-3-1 Arakawa	03-3891-2231
Takeuchi Hospital	6-7-8 Arakawa	03-3892-7771
Machiya Marks Tower Clinic	7-46-1-208 Arakawa	03-6807-7415
Hori Medical Clinic	1-1-9 Machiya Medical Center Medium Machiya 2F	03-3895-5400
Takahashi Clinic	3-2-10 Machiya	03-3810-5665
Kida Clinic	3-27-9 Machiya	03-3819-3123
Sophia Clinic	4-9-10 Machiya	03-3892-4514
Onuma Clinic	6-19-15 Machiya	03-3895-6603
Kumanomae Clinic	3-19-8 Higashiogu	03-3819-2535
Kumanomae Kato Internal Medicine Clinic	6-39-13 Higashiogu	03-6677-5400
Ogubashi Clinic	8-19-2 Higashiogu	03-3800-3020
Miyanomae Clinic	2-3-2 Nishiogu	03-3800-7111
Kawasaki Internal Medicine Clinic	2-14-11 Nishiogu	03-6807-7769
Sato Hospital	5-7-1 Nishiogu	03-3893-6525
Minowa Hospital	1-4-3 Higashi Nippori	03-3803-2355
Oyama Internal Medicine Clinic	1-5-10 Higashi Nippori Suzuki Liquor Building 3A	03-5850-2030
Yatagai Clinic	4-20-6 Higashi Nippori	03-5850-6166
Readence Tower Clinic	5-16-3-201 Higashi Nippori	03-5850-1661
Mikawashima Tower Clinic	Higashi Nippori 6-1-1 Atlas Brands Tower Mikawashima 2F	03-3806-1133
Hasunuma Clinic	6-51-8 Higashi Nippori	03-3891-1170
Nippori Clinic	6-60-4 Higashi Nippori	03-3806-0345
Hosoi Gastroenterology Clinic	1-59-11 Nishinippori	03-3805-4151
Kobori Clinic	5-11-8 Nishinippori Sankyo Central Plaza Building 7F	03-3805-8181

Please be sure to call in advance to confirm consultation hours and examination methods.

If you have been diagnosed with stomach cancer, please see the "Cancer Consultation/Support" page .

Related Links

If you would like to know more about gastric cancer screening, please see the link below.
Tokyo Health Station homepage (link to the outside site) (open with the other window)
If you want to know about other examinations, please see the link below.
Information on Cancer Screening Lung Cancer Screening Colon Cancer Screening Breast Cancer ScreeningCervical Cancer Screening