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

• Autor(a) principal: BARCHI,Leandro Cardoso
• Data de Publicação: 2021
• Outros Autores: RAMOS,Marcus Fernando Kodama Pertille, DIAS,André Roncon, FORONES,Nora Manoukian, CARVALHO,Marineide Prudêncio de, CASTRO,Osvaldo Antonio Prado, KASSAB,Paulo, COSTA-JÚNIOR,Wilson Luiz da, WESTON,Antônio Carlos, ZILBERSTEIN,Bruno, Ferraz,Álvaro Antônio Bandeira, ZeideCharruf,Amir, Brandalise,André, Silva,André Maciel da, Alves,Barlon, Marins,Carlos Augusto Martinez, Malheiros,Carlos Alberto, Leite,Celso Vieira, Bresciani,Claudio José Caldas, Szor,Daniel, Mucerino,Donato Roberto, Wohnrath,Durval R., JirjossIlias,Elias, Martins Filho,Euclides Dias, PinatelLopasso,Fabio, Coimbra,Felipe José Fernandez, Felippe,Fernando E. Cruz, Tomasisch,Flávio Daniel Saavedra, Takeda,Flavio Roberto, Ishak,Geraldo, Laporte,Gustavo Andreazza, Silva,Herbeth José Toledo, Cecconello,Ivan, Rodrigues,Joaquim José Gama, Grande,José Carlos Del, Lourenço,Laércio Gomes, Motta,Leonardo Milhomem da, Ferraz,Leonardo Rocha, Moreira,Luis Fernando, Lopes,Luis Roberto, Toneto,Marcelo Garcia, Mester,Marcelo, Rodrigues,Marco Antônio Gonçalves, Franciss,Maurice Youssef, AdamiAndreollo,Nelson, Corletta,Oly Campos, Yagi,Osmar Kenji, Malafaia,Osvaldo, Assumpção,Paulo Pimentel, Savassi-Rocha,Paulo Roberto, Colleoni Neto,Ramiro, Oliveira,Rodrigo Jose de, AissarSallun,Rubens Antonio, Weschenfelder,Rui, Oliveira,Saint Clair Vieira de, Abreu,Thiago Boechat de, Castria,Tiago Biachi de, Ribeiro Junior,Ulysses, Barra,Williams, Freitas Júnior,Wilson Rodrigues de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000100306
• topic: Gastric cancer; Practice cuideline; Gastrectomy; Lymphadenectomy; Combined modality therapy; Consensus

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.