Stomach cancer secondary prevention: Difference between revisions
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* [[Complete blood count]] is indicated. | * [[Complete blood count]] is indicated. | ||
* Imagings or [[endoscopy]] as clinically indicated. ? | * Imagings or [[endoscopy]] as clinically indicated. ? | ||
* Monitor for nutritional deficiency in | * Monitor for nutritional deficiency in patients with a history of [[Surgery|surgical]] resection and treat as indicated.<ref name="pmid24613579">{{cite journal| author=Park CH, Kim EH, Chung H, Lee H, Park JC, Shin SK et al.| title=The optimal endoscopic screening interval for detecting early gastric neoplasms. | journal=Gastrointest Endosc | year= 2014 | volume= 80 | issue= 2 | pages= 253-9 | pmid=24613579 | doi=10.1016/j.gie.2014.01.030 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24613579 }}</ref> | ||
* During a median follow-up of 27 months, synchronous cancers which occur within one year of [[Endoscopic surgery|endoscopic resection]] or metachronous cancers which occur after one year were detected in 14 percents, and local recurrence was detected in 0.4 percent.? | * During a median follow-up of 27 months, synchronous cancers which occur within one year of [[Endoscopic surgery|endoscopic resection]] or metachronous cancers which occur after one year were detected in 14 percents, and local recurrence was detected in 0.4 percent.? | ||
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Revision as of 16:16, 22 December 2017
Overview
Gastric cancer secondary prevention is indicated for all patients after gastric surgeries. Physical examination, complete blood count, imaging or endoscopy are indicated to decrease levels of recurrence.
Secondary prevention
- History and physical examination every three to six months for years 1 to 2, every 6 to 12 months for years 3 to 5, and then annually.[1]
- Complete blood count is indicated.
- Imagings or endoscopy as clinically indicated. ?
- Monitor for nutritional deficiency in patients with a history of surgical resection and treat as indicated.[2]
- During a median follow-up of 27 months, synchronous cancers which occur within one year of endoscopic resection or metachronous cancers which occur after one year were detected in 14 percents, and local recurrence was detected in 0.4 percent.?
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References
- ↑ Park CH, Kim EH, Chung H, Park JC, Shin SK, Lee SK; et al. (2014). "Role of computed tomography scan for the primary surveillance of mucosal gastric cancer after complete resection by endoscopic submucosal dissection". Surg Endosc. 28 (4): 1307–13. doi:10.1007/s00464-013-3327-3. PMID 24337190.
- ↑ Park CH, Kim EH, Chung H, Lee H, Park JC, Shin SK; et al. (2014). "The optimal endoscopic screening interval for detecting early gastric neoplasms". Gastrointest Endosc. 80 (2): 253–9. doi:10.1016/j.gie.2014.01.030. PMID 24613579.