Skip to main content

Celiac axis infusion (CAI) chemotherapy for advanced gastric cancer

  • Chapter
Management of Gastric Cancer

Part of the book series: Cancer Treatment and Research ((CTAR,volume 55))

Abstract

Long-term prognosis of gastric cancer patients mainly depends on early diagnosis. Patients submitted to surgery in advanced stages III and IV do not have more than a 10% 5-year survival expectancy [4]. Although gastric cancer has been proved to be chemosensitive [2,3,5,7], and the rationale for adjuvant chemotherapy is therefore well established, there are no sufficient data so far to demonstrate any substantial benefit in survival. To date radical surgery for early gastric cancer remains the only therapeutic modality with a significant cure rate. It has been the objective of this pilot study to find out whether increased local drug concentrations, given via the arterial route through the celiac axis, lead to higher local response rates than systemic chemotherapy, and therefore potentially induce backstaging of the loco-regional tumor burden.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
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

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Aigner K.R., Müller H, 1990. Intra-arterial chemotherapy with MMC, CDDP and 5-FU for nonresectable pancreatic cancer — a phase II study. Regional Cancer Treatment 3:1–6.

    Google Scholar 

  2. Douglass HO, 1985. Gastric cancer. Overview of current therapies. Semin Oncol 12(3, Suppl. 4):57–62.

    PubMed  Google Scholar 

  3. Gohmann JJ, Macdonald JS, 1989. Chemotherapy of gastric cancer. Cancer Invest 7(1):39–52.

    Article  PubMed  CAS  Google Scholar 

  4. Kelsen D, 1988. Chemotherapy of gastric cancer: A review. Israel J Med Sci 24:557–561.

    PubMed  CAS  Google Scholar 

  5. Saji S, Kishimoto Y, Sakata K, Furuta T, Hiromi T, Kawata R, 1987. Advanced gastric cancer successfully resected following cisplatin therapy: Report of a case. J Surg Oncol 36:138–141.

    Article  PubMed  CAS  Google Scholar 

  6. Stephens FO, 1988. Management of gastric cancer with regional chemotherapy preceding gastrectomy — 5-year survival results. Reg Cancer Treat 1:80–82.

    Google Scholar 

  7. Tanemura H, Kawata R, Suzuki M, Shimokawa K, Azuma S, Furuta T, Saji S, Ohashi H, Sakata K, 1988. Cure of advanced gastric cancer by combined chemotherapy with cisplatinum, mitomycin C and 5-fluorouracil. J Surgical Oncol 38:26–32.

    Article  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Aigner, K.R., Benthin, F., Müller, H. (1991). Celiac axis infusion (CAI) chemotherapy for advanced gastric cancer. In: Sugarbaker, P.H. (eds) Management of Gastric Cancer. Cancer Treatment and Research, vol 55. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3882-0_20

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-3882-0_20

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6731-4

  • Online ISBN: 978-1-4615-3882-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics