Dealing with the gray zones in the management of gastric cancer: The consensus statement of the Istanbul Group

AYTAÇ, ERMAN; Aslan, Fatih; ÇİÇEK, Bahattin; Erdamar, Ayşe; Gurses, Bengi; GÜVEN, Koray; Falay, Okan; KARAHASANOĞLU, Tayfun; Selcukbiricik, Fatih; Selek, Ugur; Atalar, BANU; Balik, Emre; Tozun, Ayşe; Rozanes, Izzet; Arican, Ali; Hamzaoglu, İsmail; Baca, Bilgi; Mandell, Nil; Saruc, Murat; Goksel, Suha; Demir, Gokhan; Agaoglu, Fulya; Yakicier, Cengiz; Ozbek, UĞUR; Ozben, Volkan; Ozyar, Enis; Guner, Ahmet; Er, Ozlem; Kaban, Kerim; Bolukbasi, Yasemin; Bugra, Dursun; Ahishali, Emel; Asian, Fatih; Boz-bas, Aysun; Hamzaoglu, Hulya; Karaman, Ahmet; Kucukmetin, Nurten; Vardareli, Erkan; Onder, Fatih; Sisman, Gurhan; Tiftikci, Arzu; Unal, Hakan; Yapali, Suna; Acar, Sami; Agcaoglu, Orhan; Aghayeva, Afag; Akyuz, Ali; Atasoy, Deniz; Batik, Emre; Bayraktar, Ilknur; Bayram, Onur; Bilgic, Cagri; Bilgin, İSMAİL; Can, Ugur; Dulgeroglu, Onur; Durukan, Ugur; Gencosmanoglu, Rasim; Gonenc, Murat; Gurbuz, Bulent; Kaya, Mesut; Omarov, Nail; Ozben, Volkan; Ozgur, İlker; Ozoran, Emre; Sobutay, Erman; Uras, Cihan; Uymaz, Derya; Zenger, Serkan; Ozbek, Ugur; Yakicier, M.; Afsar, Cigdem; Bozkurt, Mustafa; Demir, Atakan; Er, Ozlem; Kanitez, Metin; Korkmaz, Taner; Mandel, Nil; Mert, Askhan; Ozer, LEYLA; Sonmez, ÖZLEM; Tunali, Didem; Uluc, BAŞAK; Yazar, Aziz; Yildiz, İBRAHİM; Demirkurek, Cengiz; Guner, Ahmet; Vardareli, Erkan; Armutlu, Aye; Baba, Fisun; Ersozlu, Ilker; Kapran, Yersu; Sahin, DAVUT; Abacioglu, Mehmet; Bese, Nuran; Durankus, Nilufer; Gural, Zeynep; Ozyar, Enis; Sengoz, KAZIM; Sezen, Duygu; Caliskan, Can; Guven, Koray; Karaaslan, Ercan; Kizilkaya, Esref; Suleyman, Erdogan

doi:10.5152/tjg.2018.18737

Dealing with the gray zones in the management of gastric cancer: The consensus statement of the Istanbul Group

Atıf İçin Kopyala

AYTAÇ E., Aslan F., ÇİÇEK B., Erdamar S., Gurses B., GÜVEN K., ...Daha Fazla

TURKISH JOURNAL OF GASTROENTEROLOGY, sa.7, ss.584-598, 2019 (SCI-Expanded)

Yayın Türü: Makale / Derleme
Basım Tarihi: 2019
Doi Numarası: 10.5152/tjg.2018.18737
Dergi Adı: TURKISH JOURNAL OF GASTROENTEROLOGY
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
Sayfa Sayıları: ss.584-598
Anahtar Kelimeler: Gastric cancer, neoadjuvant treatment, adjuvant treatment, staging, surgical treatment, LYMPH-NODE DISSECTION, CLINICAL-PRACTICE GUIDELINES, PHASE-III TRIAL, SIEWERT TYPE-II, PERIOPERATIVE CHEMOTHERAPY, NEOADJUVANT CHEMOTHERAPY, GASTROINTESTINAL CANCER, GASTROESOPHAGEAL ADENOCARCINOMA, PREOPERATIVE CHEMORADIOTHERAPY, PROGNOSTIC-SIGNIFICANCE
Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

The geographical location and differences in tumor biology significantly change the management of gastric cancer. The prevalence of gastric cancer ranks fifth and sixth among men and women, respectively, in Turkey. The international guidelines from the Eastern and Western countries fail to manage a considerable amount of inconclusive issues in the management of gastric cancer. The uncertainties lead to significant heterogeneities in clinical practice, lack of homogeneous data collection, and subsequently, diverse outcomes. The physicians who are professionally involved in the management of gastric cancer at two institutions in Istanbul, Turkey, organized a consensus meeting to address current problems and plan feasible, logical, measurable, and collective solutions in their clinical practice for this challenging disease. The evidence-based data and current guidelines were reviewed. The gray zones in the management of gastric cancer were determined in the first session of this consensus meeting. The second session was constructed to discuss, vote, and ratify the ultimate decisions. The identification of the T stage, the esophagogastric area, imaging algorithm for proper staging and follow-up, timing and patient selection for neoadjuvant treatment, and management of advanced and metastatic disease have been accepted as the major issues in the management of gastric cancer. The recommendations are presented with the percentage of supporting votes in the results section with related data.