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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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A Canadian algorithm for upper gastrointestinal cancer management.

Frédéric Lemay1, Amindeep S Sandhu2, Barry D Stein3

  • 1Division of Gastroenterology, Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada.

Frontiers in Oncology
|April 29, 2025
PubMed
Summary

New expert-driven algorithms improve upper gastrointestinal (GI) cancer care in Canada. This approach integrates immunotherapy, like immune checkpoint inhibitors, and patient input for better outcomes.

Keywords:
algorithmbest practicesesophagealgastricgastroesophageal junctionimmunotherapynutritionsurvivorship

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Area of Science:

  • Oncology
  • Gastroenterology
  • Immunotherapy

Background:

  • Immunotherapy, including immune checkpoint inhibitors, has significantly advanced upper gastrointestinal (GI) cancer treatment.
  • Implementing novel treatment strategies into real-world Canadian oncology practices presents challenges.
  • Clinicians and patients would benefit from easily implementable algorithms for upper GI cancer management.

Purpose of the Study:

  • To present expert opinion on best practices for managing upper GI cancers.
  • To introduce a new algorithm for screening, workup, diagnosis, treatment, and survivorship in upper GI cancers.
  • To address educational needs and integrate patient priorities into cancer care.

Main Methods:

  • An expert opinion consensus was formed through a case-based, accredited educational program with asynchronous clinician discussions across Canada.
  • Input was gathered from expert medical oncologists and gastroenterologists.
  • A needs assessment identified current educational gaps, and patient representatives provided insights on patient concerns.

Main Results:

  • The study outlines best practices for upper GI cancer management.
  • A novel algorithm is presented to guide clinical decision-making from screening to survivorship.
  • Key recommendations include incorporating patient input, utilizing immune checkpoint inhibitors, and providing comprehensive supportive care.

Conclusions:

  • Expert consensus and a novel algorithm can facilitate the integration of advanced therapies, such as immune checkpoint inhibitors, into Canadian upper GI cancer care.
  • Patient-centered care, encompassing input throughout treatment and survivorship, is crucial.
  • Comprehensive supportive care is essential for improving the quality of life for patients with upper GI cancers.