BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT

Leandro Cardoso BARCHI Marcus Fernando Kodama Pertille RAMOS André Roncon DIAS Nora Manoukian FORONES Marineide Prudêncio de CARVALHO Osvaldo Antonio Prado CASTRO Paulo KASSAB Wilson Luiz da COSTA-JÚNIOR Antônio Carlos WESTON Bruno ZILBERSTEIN About the authorsConsensoAbout the author

ABSTRACT

Background

: The II Brazilian Consensus on Gastric Cancer of the Brazilian Gastric Cancer Association BGCA (Part 1) was recently published. On this occasion, countless specialists working in the treatment of this disease expressed their opinion in the face of the statements presented.

Aim

: To present the BGCA Guidelines (Part 2) regarding indications for surgical treatment, operative techniques, extension of resection and multimodal treatment.

Methods:

To formulate these guidelines, the authors carried out an extensive and current review regarding each declaration present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases initially with the following descriptors: gastric cancer, gastrectomy, lymphadenectomy, multimodal treatment. In addition, each statement was classified according to the level of evidence and degree of recommendation.

Results

: Of the 43 statements present in this study, 11 (25,6%) were classified with level of evidence A, 20 (46,5%) B and 12 (27,9%) C. Regarding the degree of recommendation, 18 (41,9%) statements obtained grade of recommendation 1, 14 (32,6%) 2a, 10 (23,3%) 2b e one (2,3%) 3.

Conclusion

: The guidelines complement of the guidelines presented here allows surgeons and oncologists who work to combat gastric cancer to offer the best possible treatment, according to the local conditions available.

HEADINGS:
Gastric cancer; Practice cuideline; Gastrectomy; Lymphadenectomy; Combined modality therapy; Consensus

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