We examined the present conditions of the measures type gastric cancer examination system in Tokyo. We conducted a questionnaire in the Tokyo District Medical Association and investigated the actual situation of the measures type examination.
 We proved a mortality decrease in examination of gastric cancer risk stratification effect and tried the construction of a more effective examination system. Because there is the suitable evidence indicating the mortality decrease effect, in “the gastric cancer examination guidelines 2014 version based on the effective evaluation,” stomach X-ray examination and a gastroscopy are recommended as a gastric cancer examination in measures type examination and the option type examination. For the smooth induction of the measures type gastroscopy examination, the problems are the choice of the enforcement physician, an irrigation method, and the setting of the interpretation committee. We obtained interpretation that we did not deny that we used function water from Ministry of Health, Labour and Welfare.
 More institutions become able to participate in measures type gastroscopy examination, and it may be thereby said that the way which can plan smooth induction was opened. We are not going to find gastric cancer and judge the examination of gastric cancer risk stratification (examination for ABC) whether you have the gastric mucosa which is at increased risk for being easy to suffer from gastric cancer.
 The case that helicobacter pylori was discovered after sanitization from discovered case and helicobacter pylori antibody of the gastric cancer-negative high level group is reported, and the careful handling is expected.
 A stomach X-rays examination, a gastroscopy examination, an examination of gastric cancer risk stratification may be introduced at the same time in future in many local governments. It is the present conditions to vary in target age, enforcement frequency, self-pay costs in each local government. We hope that it is not a dream to get rid of gastric cancer death from Tokyo by building measures type gastric cancer automated multiphasis health testing system effectively.