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Review
. 2021 May 14;34(1):e1563.
doi: 10.1590/0102-672020210001e1563. eCollection 2021.

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT

[Article in English, Portuguese]
Leandro Cardoso Barchi  1   2 , Marcus Fernando Kodama Pertille Ramos  1 , André Roncon Dias  1 , Nora Manoukian Forones  3 , Marineide Prudêncio de Carvalho  3 , Osvaldo Antonio Prado Castro  3 , Paulo Kassab  3 , Wilson Luiz da Costa-Júnior  4   5 , Antônio Carlos Weston  6 , Bruno Zilberstein  1   2 ; Consenso; Álvaro Antônio Bandeira Ferraz, Amir ZeideCharruf, André Brandalise, André Maciel da Silva, Barlon Alves, Carlos Augusto Martinez Marins, Carlos Alberto Malheiros, Celso Vieira Leite, Claudio José Caldas Bresciani, Daniel 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, Flavio 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, Luis 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 Assumpção, Paulo Roberto Savassi-Rocha, Ramiro Colleoni Neto, Rodrigo Jose de Oliveira, Rubens Antonio AissarSallun, Rui Weschenfelder, Saint Clair Vieira de Oliveira, Thiago Boechat de Abreu, Tiago Biachi de Castria, Ulysses Ribeiro Junior, Williams Barra, Wilson Rodrigues de Freitas Júnior
Affiliations
Review

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT

[Article in English, Portuguese]
Leandro Cardoso Barchi et al. Arq Bras Cir Dig. .

Abstract
in English, Portuguese

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.

Objetivo:: O II Consenso Brasileiro de Câncer Gástrico da Associação Brasileira de Câncer Gástrico ABCG (Parte 1) foi recentemente publicado. Nesta ocasião inúmeros especialistas que atuam no tratamento desta doença expressaram suas opiniões diante declarações apresentadas.

Apresentar as Diretrizes da ABCG (Parte 2) quanto às indicações de tratamento cirúrgico, técnicas operatórias, extensão de ressecção e terapia combinada.

Métodos:: Para formulação destas diretrizes os autores realizaram extensa e atual revisão referente a cada declaração presente no II Consenso, utilizando as bases Medline/PubMed, Cochrane Library e SciELO, inicialmente com os seguintes descritores: câncer gástrico, gastrectomia, linfadenectomia, terapia combinada. Ainda, cada declaração foi classificada de acordo com o nível de evidência e grau de recomendação.

Resultados:: Das 43 declarações presentes neste estudo, 11 (25,6%) foram classificadas com nível de evidência A, 20 (46,5%) B e 12 (27,9%) C. Quanto ao grau de recomendação, 18 (41,9%) declarações obtiveram grau de recomendação 1, 14 (32,6%) 2a, 10 (23,3%) 2b e um (2,3%) 3.

Conclusão:: O complemento das diretrizes aqui presentes possibilita que cirurgiões e oncologistas que atuam no combate ao câncer gástrico possam oferecer o melhor tratamento possível, de acordo com as condições locais disponíveis.

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Conflict of interest statement

Conflict of interest: none

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