[Current S3 guidelines on surgical treatment of gastric carcinoma].

Abstract

The current S3 guidelines on the diagnosis and treatment of gastric carcinoma including those of the esophagogastric junction describe optimal clinical practice based on a high level of evidence and expert consensus from different medical disciplines. Endoscopy and performance of multiple biopsies is the standard approach to detect malignant tumors in the upper gastrointestinal tract. Further diagnostic procedures are necessary to evaluate the tumor stage. With the exception of mucosal carcinomas, surgical therapy is the cornerstone of curative treatment in all potentially resectable stages. In locally advanced carcinomas perioperative chemotherapy should be carried out and in high-seated tumors preoperative radiochemotherapy might be an alternative option. Palliative surgical resection should be avoided in disseminated asymptomatic stages. In a palliative situation complications of the tumor should primarily be treated by interventional or conservative procedures.

• Authors: H-J Meyer, A H Hölscher, F Lordick, H Messmann, S Mönig, C Schumacher, M Stahl, H Wilke, M Möhler
• Journal: Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen (Chirurg) Vol. 83 Issue 1 Pg. 31-7 (Jan 2012) ISSN: 1433-0385 [Electronic] Germany
• Vernacular Title: Aktuelle S3-Leitlinie zur Chirurgie des Magenkarzinoms.
• PMID: 22127381 (Publication Type: Consensus Development Conference, English Abstract, Journal Article, Practice Guideline)

Topics

• Adenocarcinoma (diagnosis, drug therapy, pathology, surgery)
• Algorithms
• Biopsy
• Chemoradiotherapy
• Combined Modality Therapy
• Endoscopy, Digestive System
• Esophageal Neoplasms (diagnosis, drug therapy, pathology, surgery)
• Esophagectomy (methods)
• Esophagogastric Junction (pathology, surgery)
• Evidence-Based Medicine
• Gastrectomy (methods)
• Gastric Mucosa (pathology, surgery)
• Humans
• Lymph Node Excision (methods)
• Neoadjuvant Therapy
• Neoplasm Staging
• Palliative Care (methods)
• Postoperative Complications (etiology)
• Prognosis
• Stomach Neoplasms (diagnosis, drug therapy, pathology, surgery)