back to vol. 15, b. 1, 2009

Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: Volume 15, book 1, 2009
Subject Collection: Medicine
Page: 26 - 31
DOI: 10.5272/jimab.1512009_26
Online date:June 23, 2009

N. Kolev, Krassimir Ivanov, A. Tonev, V. Ignatov
I-st Clinic of Surgery, University Hospital “St. Marina”
Medical University of Varna, Bulgaria
SUMMARY: BACKGROUND: Effective palliation rather than cure is often the most appropriate goal in the management of patients with advanced gastric cancer.The literature to date is limited by the imprecise use of the term palliative and subsequent variable designation of patients into evaluable groups. STUDY DESIGN: Between 2000 and 2007, 303 patients underwent a operation for gastric adenocarcinoma. Patients who received a noncurative (R1/R2) resection were identified. A procedure was defined as palliative if it was performed explicitly to palliate symptoms or improve quality of life. RESULTS: One hundred and ninety five of them (65%) received a noncurative gastric resection. The operation was palliative in 47% (92/195) and nonpalliative in 53% (103/195). Palliative no curative operations aimed preservation of tumor-engaged organ’s function, enhanced quality of patient’s life till dead, but not prolonged his life. No curative no palliative operations aimed cytoreductive effect by removing the organ engaged with primary tumor and improve the results of postoperative complex treatment and prolong the patient’s life. CONCLUSIONS: There are important differences among patients undergoing noncurative operations for gastric cancer. Studies designed to measure palliative interventions would benefit from precise designations of palliative intent in patients receiving noncurative operations.

Page: 26-31; FULL TEXT PDF (156 KB)

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