巴西胃癌协会指南（第1部分）：诊断、分期、内镜治疗及随访的最新进展
BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 1): AN UPDATE ON DIAGNOSIS, STAGING, ENDOSCOPIC TREATMENT AND FOLLOW-UP.
作者信息
Barchi Leandro Cardoso, Ramos Marcus Fernando Kodama Pertille, Yagi Osmar Kenji, Mucerino Donato Roberto, Bresciani Claudio José Caldas, Ribeiro JÚnior Ulysses, Andreollo Nelson Adami, AssumpÇÃo Paulo Pimentel, Weston Antônio Carlos, Colleoni Neto Ramiro, Zilberstein Bruno, Ferraz Álvaro Antônio Bandeira, Charruf Amir Zeide, Dias André Roncon, Brandalise André, Silva André Maciel da, Alves Barlon, Malheiros Carlos Alberto, Marins Carlos Augusto Martinez, Leite Celso Vieira, Szor Daniel, Wohnrath Durval R, Ilias Elias Jirjoss, Martins Filho Euclides Dias, Lopasso Fabio Pinatel, Coimbra Felipe José Fernandez, Felippe Fernando E Cruz, Tomasisch Flávio Daniel Saavedra, Takeda Flavio Roberto, Ishak Geraldo, Laporte Gustavo Andreazza, Silva Herbeth José Toledo, Cecconello Ivan, Rodrigues Joaquim José Gama, Grande José Carlos Del, Lourenço Laércio Gomes, Motta Leonardo Milhomem da, Ferraz Leonardo Rocha, Moreira Luis Fernando, Lopes Luis Roberto, Toneto Marcelo Garcia, Mester Marcelo, Rodrigues Marco Antônio Gonçalves, Carvalho Marineide Prudêncio de, Franciss Maurice Youssef, Forones Nora Manoukian, Corletta Oly Campos, Castro Osvaldo Antonio Prado, Malafaia Osvaldo, Kassab Paulo, Savassi-Rocha Paulo Roberto, Oliveira Rodrigo Jose de, Sallun Rubens Antonio Aissar, Weschenfelder Rui, Oliveira Saint Clair Vieira de, Abreu Thiago Boechat de, Castria Tiago Biachi de, Barra Williams, Costa Júnior Wilson Luiz da, Freitas Júnior Wilson Rodrigues de
机构信息
Hospital das Clinicas HCFMUSP, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Faculty of Medicine São Leopoldo Mandic, Campinas, SP, Brazil.
出版信息
Arq Bras Cir Dig. 2020 Dec 18;33(3):e1535. doi: 10.1590/0102-672020200003e1535. eCollection 2020.
BACKGROUND
The II Brazilian Consensus on Gastric Cancer by the Brazilian Gastric Cancer Association (ABCG) was recently published. On this occasion, several experts in gastric cancer expressed their opinion before the statements presented.
AIM
To present the ABCG Guidelines (part 1) regarding the diagnosis, staging, endoscopic treatment and follow-up of gastric cancer patients.
METHODS
To forge these Guidelines, the authors carried out an extensive and current review regarding each statement present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases with the following descriptors: gastric cancer, staging, endoscopic treatment and follow-up. In addition, each statement was classified according to the level of evidence and degree of recommendation.
RESULTS
Of the 24 statements, two (8.3%) were classified with level of evidence A, 11 (45.8%) with B and 11 (45.8%) with C. As for the degree of recommendation, six (25%) statements obtained grade of recommendation 1, nine (37.5%) recommendation 2a, six (25%) 2b and three (12.5%) grade 3.
CONCLUSION
The guidelines presented here are intended to assist professionals working in the fight against gastric cancer with relevant and current information, granting them to be applied in the daily medical practice.
背景
巴西胃癌协会（ABCG）近期发布了第二届巴西胃癌共识。在此期间，多位胃癌专家在提交的声明前表达了各自的观点。
目的
介绍ABCG关于胃癌患者诊断、分期、内镜治疗及随访的指南（第一部分）。
方法
为制定这些指南，作者利用Medline/PubMed、Cochrane图书馆和SciELO数据库，使用以下描述词：胃癌、分期、内镜治疗和随访，对第二届共识中的每项声明进行了广泛且最新的综述。此外，每项声明根据证据水平和推荐程度进行了分类。
结果
在24项声明中，两项（8.3%）证据水平为A，11项（45.8%）为B，11项（45.8%）为C。至于推荐程度，六项（25%）声明获得推荐等级1，九项（37.5%）为2a级推荐，六项（25%）为2b级推荐，三项（12.5%）为3级推荐。
结论
此处呈现的指南旨在为从事胃癌防治工作的专业人员提供相关的最新信息，使其能够应用于日常医疗实践。
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