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RECOMMENDATIONS OF THE CHILEAN ASSOCIATION FOR DIGESTIVE ENDOSCOPY FOR THE MANAGEMENT OF GASTRIC PRE-MALIGNANT LESIONS

Diagnóstico Precoz de Cáncer Gástrico. Propuesta de Detección y Seguimiento de Lesiones Premalignas Gástricas: Protocolo ACHED

dc.contributoren-US
dc.contributores-ES
dc.creatorRollán, Antonio; Facultad de Medicina Clinica Alemana-U. del Desarrollo
dc.creatorCortés, Pablo; Unidad de Gastroenterologia, Clinica Alemana de Santiago.
dc.creatorCalvo, Alfonso; Unidad de Endoscopia CRS San Rafael y Endoscopia Terapéutica Hospital. Dr. Sótero del Río, Santiago, Chile
dc.creatorAraya, Raúl; Unidad de Gastroenterología y Servicio de Endoscopia. Hospital Militar de Santiago, Santiago, Chile
dc.creatorBufadel, María Ester; Sección de Gastroenterología, Hospital Clínico Universidad de Chile y Clínica Avansalud, Integramédica, Santiago, Chile
dc.creatorGonzález, Robinson; Departamento de Gastroenterología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
dc.creatorHeredia, Carolina; Servicio de Endoscopía, Hospital Militar de Santiago, Facultad de Medicina, Universidad de los Andes, Santiago, Chile
dc.creatorMuñoz, Pablo; Sección de Gastroenterología. Hospital Clínico Universidad de Chile, Santiago, Chile
dc.creatorSquella, Freddy; Servicio de Gastroenterología Clinica Indisa y Universidad Andres Bello, Santiago, Chile
dc.creatorNazal, Roberto; Hospital San Jose y Integramédica, Santiago, Chile
dc.creatorGatica, María de los Ángeles; Unidad de Gastroenterologia, Clinica Alemana de Santiago. Facultad de Medicina Clinica Alemana-Universidad del Desarrollo, Santiago, Chile
dc.creatorGobelet, Jaquelina; Unidad de Gastroenterologia, Clinica Alemana de Santiago. Facultad de Medicina Clinica Alemana-Universidad del Desarrollo, Santiago, Chile
dc.creatorEstay, René; Clinica Santa Maria y Hospital Salvador, Santiago, Chile
dc.creatorPisano, Raúl; Unidad de Anatomía Patológica, Hospital San Juan de Dios, Santiago, Chile
dc.creatorContreras, Luis; Laboratorio de Anatomía Patológica C y S, Santiago, Chile
dc.creatorOsorio, Ingrid; Hospital El Pino, Santiago, Chile
dc.creatorEstela, Ricardo; Instituto Chileno-Japonés de Enfermedades Digestivas. Hospital Clínico San Borja Arriaran.
dc.creatorFluxá, Fernando; Clinica Las Condes, Santiago, Chile
dc.creatorParra-Blanco, Adolfo; Pontificia Universidad Católica de Chile, Santiago, Chile
dc.date2014-09-12
dc.date.accessioned2019-11-11T18:28:18Z
dc.date.available2019-11-11T18:28:18Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3420
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111523
dc.descriptionAn expert panel analyzed the available evidence and reached a consensus to release 24 recommendations for primary and secondary prevention of gastric cancer 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.en-US
dc.descriptionAn expert panel analyzed the available evidence and reached a consensus to release 24 recommendations for primary and secondary prevention of gastric cancer 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-ES
dc.formatapplication/unknown
dc.languagespa
dc.publisherRevista Médica de Chilees-ES
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dc.sourceRevista Médica de Chile; Vol. 142, núm. 9 (2014): SEPTIEMBRE 2014es-ES
dc.source0034-9887
dc.subjectGastric neoplasms; Health planning guidelines; Mass screeningen-US
dc.subjectGastric neoplasms; Health planning guidelines; Mass screeninges-ES
dc.titleRECOMMENDATIONS OF THE CHILEAN ASSOCIATION FOR DIGESTIVE ENDOSCOPY FOR THE MANAGEMENT OF GASTRIC PRE-MALIGNANT LESIONSen-US
dc.titleDiagnóstico Precoz de Cáncer Gástrico. Propuesta de Detección y Seguimiento de Lesiones Premalignas Gástricas: Protocolo ACHEDes-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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