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Tarasov S.A.

Sklifosovsky Research Institute for Emergency Care

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

Rogal M.M.

Sklifosovsky Research Institute for Emergency Care

Aksenova S.O.

Sklifosovsky Research Institute for Emergency Care

Complicated gastric cancer and modern treatment approaches

Authors:

Tarasov S.A., Yartsev P.A., Rogal M.M., Aksenova S.O.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(4): 125‑140

DOI: 10.17116/hirurgia2024041125

Read: 2195 times

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Table of contents

COMPLICATED GASTRIC CANCER AND MODERN TREATMENT APPROACHES
COMPLICATED GASTRIC CANCER AND MODERN TREATMENT APPROACHES

To cite this article:

Tarasov SA, Yartsev PA, Rogal MM, Aksenova SO. Complicated gastric cancer and modern treatment approaches. Pirogov Russian Journal of Surgery. 2024;(4):125‑140. (In Russ.)
https://doi.org/10.17116/hirurgia2024041125

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Among all patients with gastric cancer, 40% admit to the hospitals due to cancer-related complications. The most common complications of gastric cancer are bleeding (22—80%), malignant gastric outlet obstruction (26—60%), and perforation (less than 5%). The main treatment methods for gastric cancer complicated by bleeding are various forms of endoscopic hemostasis, transarterial embolization and external beam radiotherapy. Surgical treatment is possible in case of ineffective management. However, surgical algorithm is not standardized. Malignant gastric outlet stenosis requires decompression: endoscopic stenting, palliative gastroenterostomy. Surgical treatment is also possible (gastrectomy, proximal or distal resection of the stomach). The main problem for patients with complicated gastric cancer is the lack of standardized algorithms and abundance of potential surgical techniques. The aim of our review is to systematize available data on the treatment of complicated gastric cancer and to standardize existing methods.

Keywords:

gastric cancer
bleeding
malignant gastric outlet obstruction
endoscopic hemostasis
gastrojejunostomy
endoscopic stenting
gastrectomy

Authors:

Tarasov S.A.

Sklifosovsky Research Institute for Emergency Care

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

Rogal M.M.

Sklifosovsky Research Institute for Emergency Care

Aksenova S.O.

Sklifosovsky Research Institute for Emergency Care

Received:

17.09.2023

Accepted:

30.09.2023

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