BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 1): AN UPDATE ON DIAGNOSIS, STAGING, ENDOSCOPIC TREATMENT AND FOLLOW-UP

Leandro Cardoso BARCHI Marcus Fernando Kodama Pertille RAMOS Osmar Kenji YAGI Donato Roberto MUCERINO Claudio José Caldas BRESCIANI Ulysses RIBEIRO JÚNIOR Nelson Adami ANDREOLLO Paulo Pimentel ASSUMPÇÃO Antônio Carlos WESTON Ramiro COLLEONI NETO Bruno ZILBERSTEIN About the authorsConsensus membersAbout the author Álvaro Antônio Bandeira Ferraz Amir Zeide Charruf André Roncon Dias André Brandalise André Maciel da Silva Barlon Alves Carlos Alberto Malheiros Carlos Augusto Martinez Marins Celso Vieira Leite Daniel Szor Durval R. Wohnrath Elias Jirjoss Ilias Euclides Dias Martins Filho Fabio Pinatel Lopasso Felipe José Fernandez Coimbra Fernando E. Cruz Felippe Flávio Daniel Saavedra Tomasisch Flavio Roberto Takeda Geraldo Ishak Gustavo Andreazza Laporte Herbeth José Toledo Silva Ivan Cecconello Joaquim José Gama Rodrigues José Carlos Del Grande Laércio Gomes Lourenço Leonardo Milhomem da Motta Leonardo Rocha Ferraz Luis Fernando Moreira Luis Roberto Lopes Marcelo Garcia Toneto Marcelo Mester Marco Antônio Gonçalves Rodrigues Marineide Prudêncio de Carvalho Maurice Youssef Franciss Nora Manoukian Forones Oly Campos Corletta Osvaldo Antonio Prado Castro Osvaldo Malafaia Paulo Kassab Paulo Roberto Savassi-Rocha Rodrigo Jose de Oliveira Rubens Antonio Aissar Sallun Rui Weschenfelder Saint Clair Vieira de Oliveira Thiago Boechat de Abreu Tiago Biachi de Castria Williams Barra Wilson Luiz da Costa Júnior Wilson Rodrigues de Freitas Júnior

ABSTRACT

Background:

The II Brazilian Consensus on Gastric Cancer by the Brazilian Gastric Cancer Association (ABCG) was recently published. On this occasion, several experts in gastric cancer expressed their opinion before the statements presented.

Aim:

To present the ABCG Guidelines (part 1) regarding the diagnosis, staging, endoscopic treatment and follow-up of gastric cancer patients.

Methods:

To forge these Guidelines, the authors carried out an extensive and current review regarding each statement present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases with the following descriptors: gastric cancer, staging, endoscopic treatment and follow-up. In addition, each statement was classified according to the level of evidence and degree of recommendation.

Results:

Of the 24 statements, two (8.3%) were classified with level of evidence A, 11 (45.8%) with B and 11 (45.8%) with C. As for the degree of recommendation, six (25%) statements obtained grade of recommendation 1, nine (37.5%) recommendation 2a, six (25%) 2b and three (12.5%) grade 3.

Conclusion:

The guidelines presented here are intended to assist professionals working in the fight against gastric cancer with relevant and current information, granting them to be applied in the daily medical practice.

HEADINGS:
Gastric cancer; Guidelines; Staging; Endoscopic treatment; Consensus; Follow-up

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