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Related Experiment Videos

Changing patterns in advanced gastric carcinoma.

G Kouraklis1, E Misiakos, A Papachristodoulou

  • 1Faculty of Medicine, School of Health Science, University of Athens, Greece.

Acta Chirurgica Belgica
|June 3, 1999
PubMed
Summary

This study analyzed gastric cancer cases from two periods, finding shifts in tumor location and surgical approaches. Despite changes, overall survival rates for gastric adenocarcinoma remained consistent.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Epidemiology

Background:

  • Gastric cancer presents a significant global health challenge.
  • Understanding temporal trends in gastric cancer is crucial for optimizing treatment strategies.

Purpose of the Study:

  • To evaluate changes in tumor distribution, surgical management, and survival outcomes for gastric cancer patients between two distinct time periods (1984-1988 and 1989-1993).

Main Methods:

  • A retrospective analysis of 122 gastric cancer patients was conducted, comparing data from 1984-1988 (n=63) and 1989-1993 (n=59).
  • Key metrics assessed included tumor location, stage at diagnosis, surgical procedures performed, perioperative mortality, and 5-year survival rates.

Main Results:

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  • A notable increase in proximally located gastric adenocarcinomas (15.9% to 27.1%) and a decrease in those in the gastric body (34.9% to 23.7%) were observed.
  • The proportion of proximal gastrectomies rose significantly (3.2% to 15.3%), while combined resection of adjacent organs decreased (38.1% to 22.0%).
  • Perioperative mortality saw a dramatic reduction from 17.5% to 1.7%.

    • Conclusions:

    • Surgical management for gastric cancer evolved, with increased proximal gastrectomies and reduced combined resections, leading to improved safety.
    • Despite these changes and advancements, the overall 5-year survival rate for gastric cancer remained stable at approximately 12% across both study periods.