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

Leandro Cardoso Barchi^1,2, Marcus Fernando Kodama Pertille Ramos¹, André Roncon Dias¹

¹Hospital das Clinicas HCFMUSP, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery

|May 19, 2021

Summary

This study presents Brazilian Gastric Cancer Association (BGCA) guidelines for surgical treatment, operative techniques, and multimodal therapy for gastric cancer. These evidence-based recommendations aim to optimize patient care and outcomes.

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Area of Science:

Oncology
Surgical Gastroenterology

Background:

The Brazilian Gastric Cancer Association (BGCA) previously published Part 1 of its II Consensus on Gastric Cancer.
Specialists provided opinions on statements presented in the initial consensus.

Purpose of the Study:

To outline the BGCA Guidelines (Part 2) for gastric cancer management.
Focus on surgical treatment indications, operative techniques, resection extent, and multimodal therapy.

Main Methods:

Extensive literature review of Medline/PubMed, Cochrane Library, and SciELO.
Used keywords: gastric cancer, gastrectomy, lymphadenectomy, multimodal treatment.
Classified statements by level of evidence and degree of recommendation.

Main Results:

43 statements were evaluated.
Evidence levels: 11 (A), 20 (B), 12 (C).
Recommendation grades: 18 (1), 14 (2a), 10 (2b), 1 (3).

Conclusions:

These guidelines complement Part 1 of the II Consensus.
Aims to assist surgeons and oncologists in providing optimal gastric cancer treatment.
Recommendations are tailored to available local resources.