Document Detail

Hp21 acute presentation of gastric cancer is associated with a worse prognosis.
MedLine Citation:
PMID:  17490158     Owner:  NLM     Status:  In-Data-Review    
Purpose Some patients with gastric cancers develop acute complications and present acutely. It has been proposed that this group of patients have a worse prognosis. This paper describes the management of acute and elective gastric cancer patients at South Auckland Health. Methods Patients were identified by electronic searching patient records from 2000 to 2006, and obtaining data pertaining to patient demographics, mode of presentation, management and outcome. Results Two-hundred and thirty eight patients were identified, of which 120 (50%) had an acute presentation. Patient demographics were similar in both groups, except for acute patients were older (77 years compared to 64 years; p < 0.001). Gastrointestinal bleeding and vomiting were more common in patients that presented acutely, 46% and 39% respectively, compared to 19% and 14% respectively in the elective group (p < 0.001). Fifty-six percent of all patients underwent an operation; 36% had a curative resection, 11% palliative resection and 9% had an operation for the purpose of staging. Curative resection was undertaken more commonly in patients that presented electively (47%) than those that presented acutely (24%; p < 0.001). After curative resections, the median survival for acute patients was 30.3 months, with a 3 year overall survival rate of 41.6%, compared to 72% for elective patients (p < 0.0001). Conclusions We have shown that 50% of patients with gastric cancer develop complications leading to an acute presentation. Only a minority of these patients are able to undergo resection with a curative intent, and consequently these patients have a poorer survival.
A S N Lo; A Bartlett; M Siu; G Poole
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  77 Suppl 1     ISSN:  1445-1433     ISO Abbreviation:  -     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  A44     Citation Subset:  IM    
Middlemore Hospital, South Auckland, New Zealand.
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