Skip to main content
SpringerLink
Log in

Stomach

  • Chapter
  • First Online:
Book cover Palliative Surgery

  • 1069 Accesses

Abstract

Although progress in systemic therapy has changed the surgical approach to advanced gastric carcinoma, allowing gastrectomy with or without metastasectomy in selected cases, the goal of therapy remains non-curative and directed towards symptom control for most patients. This chapter focuses on quality of life and the treatment of complications in advanced gastric carcinoma. The role of palliative surgery in the management of bleeding, obstruction, and perforation is discussed and weighed against nonsurgical alternatives such as endoscopy, radiotherapy, and interventional radiology. Sections on peritoneal carcinosis and chemotherapy-refractory ascites are also included.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    The peritoneal cancer index divides the abdomen into 13 regions. A lesion size score of 0–3 is assigned to each region, resulting in a maximum overall score of 39.

References

  1. Chen S, et al. Significance of palliative gastrectomy for late-stage gastric cancer patients. J Surg Oncol. 2012;106(7):862–71.

    Article  PubMed  Google Scholar 

  2. Glehen O, et al. Peritoneal carcinomatosis from gastric cancer: a multi-institutional study of 159 patients treated by cytoreductive surgery combined with perioperative intraperitoneal chemotherapy. Ann Surg Oncol. 2010;17(9):2370–7.

    Article  PubMed  Google Scholar 

  3. Heiss MM, et al. The trifunctional antibody catumaxomab for the treatment of malignant ascites due to epithelial cancer: results of a prospective randomized phase II/III trial. Int J Cancer. 2010;127(9):2209–21.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Valle M, Van der Speeten K, Garofalo A. Laparoscopic hyperthermic intraperitoneal peroperative chemotherapy (HIPEC) in the management of refractory malignant ascites: a multi-institutional retrospective analysis in 52 patients. J Surg Oncol. 2009;100(4):331–4.

    Article  CAS  PubMed  Google Scholar 

  5. Hosono S, et al. Endoscopic stenting versus surgical gastroenterostomy for palliation of malignant gastroduodenal obstruction: a meta-analysis. J Gastroenterol. 2007;42(4):283–90.

    Article  PubMed  Google Scholar 

  6. Hartgrink HH, et al. Value of palliative resection in gastric cancer. Br J Surg. 2002;89(11):1438–43.

    Article  CAS  PubMed  Google Scholar 

  7. Lehnert T, et al. Two-stage radical gastrectomy for perforated gastric cancer. Eur J Surg Oncol. 2000;26(8):780–4.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General, Visceral, Transplantation, Vascular and Thoracic Surgery, Ludwig Maximilians University, Munich, 81377, Germany

    Markus Albertsmeier MD, Karl-Walter Jauch MD, FACS & Martin K. Angele MD, FACS

Authors
  1. Markus Albertsmeier MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Karl-Walter Jauch MD, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Martin K. Angele MD, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Martin K. Angele MD, FACS .

Editor information

Editors and Affiliations

  1. Department of General Surgery, Mount Gambier General Hospital, Flinders University—Rural Medical School, Mount Gambier, South Australia, Australia

    Matthias W. Wichmann

  2. Discipline of Surgery, The Queen Elizabeth Hospital, University of Adelaide, Woodville, South Australia, Australia

    Guy Maddern

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Albertsmeier, M., Jauch, KW., Angele, M.K. (2014). Stomach. In: Wichmann, M., Maddern, G. (eds) Palliative Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-53709-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-53709-7_11

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-53708-0

  • Online ISBN: 978-3-642-53709-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation