BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT
Leandro Cardoso Barchi, Marcus Fernando Kodama Pertille Ramos, André Roncon Dias, Nora Manoukian FORONES, Marineide Prudêncio de Carvalho, Osvaldo Antônio Prado Castro, P Kassab, Wilson Luiz da Costa, Antônio Carlos Weston, Bruno Zilberstein, Álvaro Antônio Bandeira Ferraz, Amir ZeideCharruf, André Brandalise, André Maciel da Silva, Barlon Alves, Carlos Augusto Martinez Marins, Carlos Alberto Malheiros, Celso Vieira Leite, Cláudio José Caldas Bresciani, Daniel José Szor, Donato Roberto Mucerino, Durval R. Wohnrath, Elias JirjossIlias, Euclides Dias Martins Filho, Fabio PinatelLopasso, Felipe José Fernandez Coimbra, Fernando E. Cruz Felippe, Flávio Daniel Saavedra Tomasisch, Flávio Roberto Takeda, Geraldo Ishak, Gustavo Andreazza Laporte, Herbeth José Toledo Silva, Ivan Cecconello, Joaquim José Gama Rodrigues, José Carlos Del Grande, Laércio Gomes Lourenço, Leonardo Milhomem da Motta, Leonardo Rocha Ferraz, Luís Fernando Moreira, Luis Roberto Lopes, Marcelo Garcia Toneto, Marcelo Mester, Marco Antônio Gonçalves Rodrigues, Maurice Youssef Franciss, Nelson AdamiAndreollo, Oly Campos Corletta, Osmar Kenji Yagi, Osvaldo Malafaia, Paulo Pimentel de Assumpção, Paulo Roberto Savassi–Rocha, Ramiro Colleoni Neto, Rodrigo José de Oliveira, Rubens Antonio AissarSallun, Rui Weschenfelder, Saint Clair Vieira de Oliveira, Thiago Ferreira Abreu, Tiago Biachi De Castria, Ulysses Ribeiro, Williams Barra, Wilson Rodrigues de Freitas Júnior
Abstract
BACKGROUND: : The II Brazilian Consensus on Gastric Cancer of the Brazilian Gastric Cancer Association BGCA (Part 1) was recently published. On this occasion, countless specialists working in the treatment of this disease expressed their opinion in the face of the statements presented. AIM: : To present the BGCA Guidelines (Part 2) regarding indications for surgical treatment, operative techniques, extension of resection and multimodal treatment. METHODS: To formulate these guidelines, the authors carried out an extensive and current review regarding each declaration present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases initially with the following descriptors: gastric cancer, gastrectomy, lymphadenectomy, multimodal treatment. In addition, each statement was classified according to the level of evidence and degree of recommendation. RESULTS: : Of the 43 statements present in this study, 11 (25,6%) were classified with level of evidence A, 20 (46,5%) B and 12 (27,9%) C. Regarding the degree of recommendation, 18 (41,9%) statements obtained grade of recommendation 1, 14 (32,6%) 2a, 10 (23,3%) 2b e one (2,3%) 3. CONCLUSION: : The guidelines complement of the guidelines presented here allows surgeons and oncologists who work to combat gastric cancer to offer the best possible treatment, according to the local conditions available.