Go to:
Logótipo
Comuta visibilidade da coluna esquerda
Você está em: Start > Publications > View > Improving the Diagnosis and Treatment of Early Gastric Cancer in the West
Publication

Publications

Improving the Diagnosis and Treatment of Early Gastric Cancer in the West

Title
Improving the Diagnosis and Treatment of Early Gastric Cancer in the West
Type
Article in National Scientific Journal
Year
2021
Authors
Ortigao, R
(Author)
Other
The person does not belong to the institution. The person does not belong to the institution. The person does not belong to the institution. Without AUTHENTICUS Without ORCID
Pedro Pimentel-Nunes
(Author)
FMUP
View Personal Page You do not have permissions to view the institutional email. Search for Participant Publications View Authenticus page Without ORCID
Journal
Pages: 1-12
ISSN: 2341-4545
Publisher: Karger
Other information
Authenticus ID: P-00V-VNX
Abstract (EN): Gastric cancer is the third leading cause of cancer-related death. In Western countries, its lower prevalence and the absence of mass screening programmes contribute to late diagnosis and a slower implementation of minimally invasive treatments. A secondary prevention strategy through endoscopic surveillance of patients at high risk of intestinal-type gastric adenocarcinoma or by screening gastric cancer within colorectal screening programmes is cost-effective in intermediate-risk countries, though the identification of these patients remains challenging. Virtual chromoendoscopy with narrow-band imaging improves the accuracy of endoscopic diagnosis, significantly increasing the sensitivity for intestinal metaplasia while preserving specificity. Endoscopic grading of gastric intestinal metaplasia is feasible, correlates well with histological staging systems and also with gastric neoplasia risk and can be used to stratify risk. Endoscopic submucosal dissection (ESD) in the West achieves efficacy and safety outcomes similar to those reported for Eastern countries, and the long-term disease-specific survival is higher than 95%. A prospective comparative study with gastrectomy confirms its higher safety and its benefits concerning health-related quality of life. However, ESD is associated with a 5% risk of postprocedural bleeding and a 20% risk of non-curative resection. The knowledge of risk factors for adverse events and non-curative resection can improve patient selection. The risk of metachronous lesions after ESD is high (3-5% per year), and endoscopic surveillance is needed. The management of patients with non-curative resection can be optimized using risk scoring systems for lymph node metastasis.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 12
Documents
We could not find any documents associated to the publication.
Related Publications

Of the same authors

Predictors of Outcomes in Gastric Neuroendocrine Tumors: A Retrospective Cohort (2023)
Article in National Scientific Journal
Ortigao, R; Afonso, LP; Pedro Pimentel-Nunes; Mario Dinis Ribeiro; Libânio, D
Gastrointestinal Microbiome - What We Need to Know in Clinical Practice (2020)
Article in National Scientific Journal
Ortigao, R; Pedro Pimentel-Nunes; Mario Dinis Ribeiro; Libanio, D
Risk factors for gastric metachronous lesions after endoscopic or surgical resection: a systematic review and meta-analysis (2022)
Article in International Scientific Journal
Ortigao, R; Figueiroa, G; Frazzoni, L; Pedro Pimentel-Nunes; Hassan, C; Mario Dinis Ribeiro; Fuccio, L; Libanio, D

Of the same journal

Small Bowel Adenocarcinoma in a Patient with Crohn's Disease: The Role of Balloon-Assisted Enteroscopy (2022)
Another Publication in a National Scientific Journal
Dias, E; Saraiva, MM; Moreira, F; Cardoso, H; Macedo G
Safe and Valuable Endoscopy in the COVID Era (2020)
Another Publication in a National Scientific Journal
Libanio, D; Bastos, P; Pedro Pimentel-Nunes
Quality of Reporting in Upper Gastrointestinal Endoscopy: Effect of a Simple Audit Intervention (2019)
Another Publication in a National Scientific Journal
Lisboa Goncalves, P; Libanio, D; Marques Antunes, J; Dinis Ribeiro, M; Pimentel Nunes, P
Percutaneous Endoscopic Sigmoidopexy: Still a Way to Go (2023)
Another Publication in a National Scientific Journal
Garrido, I; Peixoto, A; Macedo G
Middle-Age New-Onset Dysphagia; [Disfagia de início recente na meia-idade] (2023)
Another Publication in a National Scientific Journal
Medas, R; Mussagi, G; Moutinho Ribeiro, P; Lopes, J; Macedo G

See all (99)

Recommend this page Top
Copyright 1996-2025 © Faculdade de Direito da Universidade do Porto  I Terms and Conditions  I Acessibility  I Index A-Z
Page created on: 2025-08-10 at 01:14:37 | Privacy Policy | Personal Data Protection Policy | Whistleblowing