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

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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.accessioned2017-03-02T15:22:10Z
dc.date.available2017-03-02T15:22:10Z
dc.date.issued2014
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
dc.format.extent12
dc.identifier.citationRevista Médica de Chile,July 2014, vol.142,p.1181-1192
dc.identifier.urihttp://hdl.handle.net/11447/983
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872014000900013
dc.language.isospa
dc.publisherSociedad Médica de Santiago
dc.subjectGastric neoplasms
dc.subjectHealth planning guidelines
dc.subjectMass screening
dc.titleDiagnóstico precoz de cáncer gástrico. Propuesta de detección y seguimiento de lesiones premalignas gástricas: protocolo ACHED
dc.title.alternativeRecommendations of the Chilean association for digestive endoscopy for the management of gastric pre-malignant lesions
dc.typeArtículo

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