Diagnóstico precoz de cáncer gástrico. Propuesta de detección y seguimiento de lesiones premalignas gástricas: protocolo ACHED

dc.contributor.authorRollán, Antonio
dc.contributor.authorCortés, Pablo
dc.contributor.authorCalvo, Alfonso
dc.contributor.authorAraya, Raúl
dc.contributor.authorBufadel, María Ester
dc.contributor.authorGonzález, Robinson
dc.contributor.authorHeredia, Carolina
dc.contributor.authorMuñoz, Pablo
dc.contributor.authorSquella, Freddy
dc.contributor.authorNazal, Roberto
dc.contributor.authorGatica, María de los Ángeles
dc.contributor.authorGobelet, Jaquelina
dc.contributor.authorEstay, René
dc.contributor.authorPisano, Raúl
dc.contributor.authorContreras, Luis
dc.contributor.authorOsorio, Ingrid
dc.contributor.authorEstela, Ricardo
dc.contributor.authorFluxá, Fernando
dc.contributor.authorParra-Blanco, Adolfo
dc.date.accessioned2016-07-04T14:07:17Z
dc.date.available2016-07-04T14:07:17Z
dc.date.issued2014-09
dc.descriptionIndexación: Web of Science; Scielo.es
dc.description.abstractAn expert panel analyzed the available evidence and reached a consensus to release 24 recommendations for primary and secondary prevention of gastric cancer (CG) in symptomatic patients, with indication for upper GI endoscopy. The main recommendations include (1) Search for and eradicate H. pylori infection in all cases. (2) Systematic gastric biopsies (Sydney protocol) in all patients over 40 years of age or first grade relatives of patient with CG, to detect gastric atrophy, intestinal metaplasia or dysplasia. (3) Incorporate the OLGA system (Operative Link on Gastritis Assessment) to the pathological report, to categorize the individual risk of CG. (4) Schedule endoscopic follow-up according to the estimated risk of CG, namely annual for OLGA III- IV, every 3 years for OLGA I- II or persistent H. pylori infection, every 5 years for CG relatives without other risk factors and no follow-up for OLGA 0, H. pylori (-). (4) Establish basic human and material resources for endoscopic follow-up programs, including some essential administrative processes, and (5) Suggest the early CG/total CG diagnosis ratio of each institution and the proportion of systematic recording of endoscopic images, as quality indicators. These measures are applicable using currently available resources, they can complement any future screening programs for asymptomatic population and may contribute to improve the prognosis of CG in high-risk populations.es
dc.description.urihttp://ref.scielo.org/f2gm58
dc.identifier.citationRev. méd. Chile vol.142 no.9 Santiago Sept. 2014es
dc.identifier.issn0034-9887
dc.identifier.otherhttp://dx.doi.org/10.4067/S0034-98872014000900013
dc.identifier.urihttp://repositorio.unab.cl/xmlui/handle/ria/935
dc.language.isoeses
dc.publisherSociedad Médica de Santiagoes
dc.subjectGastric neoplasmses
dc.subjectHealth planning guidelineses
dc.subjectMass screeninges
dc.titleDiagnóstico precoz de cáncer gástrico. Propuesta de detección y seguimiento de lesiones premalignas gástricas: protocolo ACHEDes
dc.title.alternativeRecommendations of the Chilean association for digestive endoscopy for the management of gastric pre-malignant lesionses
dc.typeArtículoes
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