Interval gastric cancer: A call to attentiveness and action

Endoscopy is the most effective method for identifying gastric adenocarcinoma (GAC). Interval gastric cancer (IGC) is GAC that is diagnosed 2–3 years after a normal endoscopy. Its characteristics are unknown in the Colombian environment. The clinical, histopathologic, and endoscopic characteristics...

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Veröffentlicht in:Revista de Gastroenterología de México (English Edition) 2023-04, Vol.88 (2), p.91-99
Hauptverfasser: Castaño-Llano, R., Piñeres, A., Jaramillo, R., Molina, S., Aristizábal, F., Puerta, J.E.
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Sprache:eng
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Zusammenfassung:Endoscopy is the most effective method for identifying gastric adenocarcinoma (GAC). Interval gastric cancer (IGC) is GAC that is diagnosed 2–3 years after a normal endoscopy. Its characteristics are unknown in the Colombian environment. The clinical, histopathologic, and endoscopic characteristics were evaluated, along with the presentation rate, proton pump inhibitor (PPI) use, and IGC survival rate, and compared with other types of GAC. A retrospective, analytic study was conducted on a prospective cohort. It evaluated 513 patients with GAC treated at our institution, within the time frame of January 2012 and June 2018. The patients had endoscopic diagnosis of GAC and endoscopy within the past three years that was negative for tumor. A total of 513 patients diagnosed with GAC were evaluated. Forty-two of the patients had IGC (8.2%): 9 early lesions and 33 advanced lesions (79%). The IGCs were smaller (31 vs. 41 mm; P 
ISSN:2255-534X
2255-534X
DOI:10.1016/j.rgmxen.2022.05.015