Oesophagogastric junction adenocarcinoma: which therapeutic approach?

Gastric and oesophageal cancers are among the leading causes of cancer-related death worldwide. By contrast with the decreasing prevalence of gastric cancer, incidence and prevalence of oesophagogastric junction adenocarcinoma (OGJA) are rising rapidly in developed countries. We provide an update ab...

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Published inThe lancet oncology Vol. 12; no. 3; pp. 296 - 305
Main Authors Mariette, Christophe, Piessen, Guillaume, Briez, Nicolas, Gronnier, Caroline, Triboulet, Jean Pierre
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.03.2011
Elsevier Limited
Subjects
Online AccessGet full text
ISSN1470-2045
1474-5488
1474-5488
DOI10.1016/S1470-2045(10)70125-X

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Abstract Gastric and oesophageal cancers are among the leading causes of cancer-related death worldwide. By contrast with the decreasing prevalence of gastric cancer, incidence and prevalence of oesophagogastric junction adenocarcinoma (OGJA) are rising rapidly in developed countries. We provide an update about treatment strategies for resectable OGJA. Here we review findings from the latest randomised trials and meta-analyses, and propose guidelines regarding endoscopic, surgical, and perioperative treatments. Through a team approach, members from all diagnostic and therapeutic disciplines, such as gastroenterologists, surgeons, oncologists, radiologists, and radiotherapists, can effectively administer a range of treatment modalities.
AbstractList Gastric and oesophageal cancers are among the leading causes of cancer-related death worldwide. By contrast with the decreasing prevalence of gastric cancer, incidence and prevalence of oesophagogastric junction adenocarcinoma (OGJA) are rising rapidly in developed countries. We provide an update about treatment strategies for resectable OGJA. Here we review findings from the latest randomised trials and meta-analyses, and propose guidelines regarding endoscopic, surgical, and perioperative treatments. Through a team approach, members from all diagnostic and therapeutic disciplines, such as gastroenterologists, surgeons, oncologists, radiologists, and radiotherapists, can effectively administer a range of treatment modalities.
Gastric and oesophageal cancers are among the leading causes of cancer-related death worldwide. By contrast with the decreasing prevalence of gastric cancer, incidence and prevalence of oesophagogastric junction adenocarcinoma (OGJA) are rising rapidly in developed countries. We provide an update about treatment strategies for resectable OGJA. Here we review findings from the latest randomised trials and meta-analyses, and propose guidelines regarding endoscopic, surgical, and perioperative treatments. Through a team approach, members from all diagnostic and therapeutic disciplines, such as gastroenterologists, surgeons, oncologists, radiologists, and radiotherapists, can effectively administer a range of treatment modalities.Gastric and oesophageal cancers are among the leading causes of cancer-related death worldwide. By contrast with the decreasing prevalence of gastric cancer, incidence and prevalence of oesophagogastric junction adenocarcinoma (OGJA) are rising rapidly in developed countries. We provide an update about treatment strategies for resectable OGJA. Here we review findings from the latest randomised trials and meta-analyses, and propose guidelines regarding endoscopic, surgical, and perioperative treatments. Through a team approach, members from all diagnostic and therapeutic disciplines, such as gastroenterologists, surgeons, oncologists, radiologists, and radiotherapists, can effectively administer a range of treatment modalities.
Summary Gastric and oesophageal cancers are among the leading causes of cancer-related death worldwide. By contrast with the decreasing prevalence of gastric cancer, incidence and prevalence of oesophagogastric junction adenocarcinoma (OGJA) are rising rapidly in developed countries. We provide an update about treatment strategies for resectable OGJA. Here we review findings from the latest randomised trials and meta-analyses, and propose guidelines regarding endoscopic, surgical, and perioperative treatments. Through a team approach, members from all diagnostic and therapeutic disciplines, such as gastroenterologists, surgeons, oncologists, radiologists, and radiotherapists, can effectively administer a range of treatment modalities.
Author Triboulet, Jean Pierre
Piessen, Guillaume
Gronnier, Caroline
Briez, Nicolas
Mariette, Christophe
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  surname: Piessen
  fullname: Piessen, Guillaume
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  givenname: Nicolas
  surname: Briez
  fullname: Briez, Nicolas
  organization: Department of Digestive and Oncological Surgery, University Hospital C Huriez, Lille, France
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  givenname: Caroline
  surname: Gronnier
  fullname: Gronnier, Caroline
  organization: Department of Digestive and Oncological Surgery, University Hospital C Huriez, Lille, France
– sequence: 5
  givenname: Jean Pierre
  surname: Triboulet
  fullname: Triboulet, Jean Pierre
  organization: Department of Digestive and Oncological Surgery, University Hospital C Huriez, Lille, France
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elsevier_clinicalkey_doi_10_1016_S1470_2045_10_70125_X
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PublicationDate 2011-03-01
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  text: 2011-03-01
  day: 01
PublicationDecade 2010
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PublicationTitle The lancet oncology
PublicationTitleAlternate Lancet Oncol
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Publisher Elsevier Ltd
Elsevier Limited
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Snippet Gastric and oesophageal cancers are among the leading causes of cancer-related death worldwide. By contrast with the decreasing prevalence of gastric cancer,...
Summary Gastric and oesophageal cancers are among the leading causes of cancer-related death worldwide. By contrast with the decreasing prevalence of gastric...
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SubjectTerms Ablation
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Adenocarcinoma - therapy
Antineoplastic Agents - therapeutic use
Cancer therapies
Combined Modality Therapy
Dissection
Endoscopy
Esophageal cancer
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophageal Neoplasms - therapy
Esophagogastric Junction - pathology
Gastric cancer
Hematology, Oncology and Palliative Medicine
Humans
Industrialized nations
Medical prognosis
Mortality
Ostomy
Patients
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Stomach Neoplasms - therapy
Surgery
Tumors
Title Oesophagogastric junction adenocarcinoma: which therapeutic approach?
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https://dx.doi.org/10.1016/S1470-2045(10)70125-X
https://www.ncbi.nlm.nih.gov/pubmed/21109491
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Volume 12
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