Back
Full-text
Journal article

Gastric cancer treatment in the world: Germany.

  • Chon SH Department of General, Visceral and Cancer Surgery, University of Cologne, Germany.
  • Berlth F Department of General, Visceral and Cancer Surgery, University of Cologne, Germany.
  • Plum PS Department of General, Visceral and Cancer Surgery, University of Cologne, Germany.
  • Herbold T Department of General, Visceral and Cancer Surgery, RWTH Aachen, Aachen, Germany.
  • Alakus H Department of General, Visceral and Cancer Surgery, University of Cologne, Germany.
  • Kleinert R Department of General, Visceral and Cancer Surgery, University of Cologne, Germany.
  • Moenig SP Surgery Department, Geneva University Hospitals, Geneva, Switzerland.
  • Bruns CJ Department of General, Visceral and Cancer Surgery, University of Cologne, Germany.
  • Hoelscher AH Department of General, Visceral and Thoracic Surgery, Agaplesion Markus Hospital, Frankfurt, Germany.
  • Meyer HJ German Society of Surgery, Berlin, Germany.
Show more…
  • 2017-06-16
Published in:
  • Translational gastroenterology and hepatology. - 2017
Gastric cancer
Germany
current treatment
prognosis
English Epidemiologically, around 15,500 persons per year contract gastric cancer with continuously decreasing incidence and a 5-year survival rate of only 30% to 35%. Contrary to the Asian countries, there are no prevention programs for gastric cancer in Germany, which leads to the disease frequently being diagnosed in locally advanced stages and predominantly being treated with multimodal therapy concepts. Complete (R0) resection is the therapy of choice for resectable gastric cancer. Special forms of gastric cancer that are limited to the mucosa can be endoscopically resected with a curative intent. Systematic D2 lymphadenectomy (LAD) plays a decisive role in the management of local advanced tumors because it significantly contributes to the reduction of tumor-related death and both local and regional relapse rates. Perioperative chemotherapy improves prognosis in the advanced stages, whereas palliative chemotherapy is normally indicated for metastatic diseases. Standardized resection procedures and the use of individualized multimodal therapy concepts have led to improvement in the 5-year survival rate.
Language
  • English
Open access status
green
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/170706
Statistics
Document views: 13 File downloads:
  • fulltext.pdf: 0