Gastric carcinoma: review of the results of treatment in a community teaching hospital

<p>Abstract</p> <p>Background</p> <p>The aim of this study is to provide data on long term results of gastric cancer surgery and in particular the D1 gastric resection.</p> <p>Methods</p> <p>In the period 1992-2004, 235 male and female patients with a median age of 69 and 70 years respectively, were included with a stage I through IV gastric carcinoma, of which 37% was stage IV disease. Whenever possible a gastric resection was performed. In case of obstructive tumour growth palliation was provided by means of a gastro-enterostomy.</p> <p>Results</p> <p>Gastrectomy with curative intent was achieved in 50%, palliative resection in 22%, palliative surgery (gastro-enterostomy) in 10% and in 18% irresectability led to surgical exploration only. Patients in the curative intent group demonstrated a 47% survival after 5 years and up to 34% after 10 years. However metastases where seen in 32% of the patients after gastrectomy with curative intent. After palliative resection one year survival was 57%, whereas 19% survived more than 3 years. Overall postoperative morbidity and mortality rates were 40% and 13% respectively.</p> <p>Conclusion</p> <p>Long term survival after surgery for gastric cancer is poor and is improved by early detection and radical resection. However, palliative resection showed improved survival compared to gastro-enterostomy alone or no resection at all which may be an effect of adjuvant therapy.</p

Survival in years of gastric cancer patients divided per stage in a neighbouring region in the Netherlands

<p><b>Copyright information:</b></p><p>Taken from "Gastric carcinoma: review of the results of treatment in a community teaching hospital"</p><p>http://www.wjso.com/content/5/1/81</p><p>World Journal of Surgical Oncology 2007;5():81-81.</p><p>Published online 20 Jul 2007</p><p>PMCID:PMC1950881.</p><p></p

Disease free survival in months of all gastric cancer patients divided per stage

<p><b>Copyright information:</b></p><p>Taken from "Gastric carcinoma: review of the results of treatment in a community teaching hospital"</p><p>http://www.wjso.com/content/5/1/81</p><p>World Journal of Surgical Oncology 2007;5():81-81.</p><p>Published online 20 Jul 2007</p><p>PMCID:PMC1950881.</p><p></p