Gastric Cancer in the Elderly

  • Emily McCracken
  • Sarah Hatch
  • Dan G. BlazerIII
Living reference work entry


Gastric cancer is the fourth most common cancer worldwide and the second leading cause of cancer death, representing a major contributor to the global health cancer burden. In the Western world, gastric cancer has been on the decline overall but remains a significant risk factor in the elderly population. This chapter will review the epidemiology, diagnosis, and treatment of gastric cancer in the elderly. Emphasis will be placed on landmark clinical trials which guide current surgical management and perioperative therapy decision-making. Up-to-date management recommendations from the National Comprehensive Cancer Network (NCCN) and European Society for Medical Oncology (ESMO) will be integrated in the discussion. Special focus will be given to issues relating to advanced age and how these issues impact decision-making for oncologists managing this growing patient population.


Gastric cancer Geriatric surgery Total gastrectomy Partial gastrectomy Subtotal gastrectomy Frailty Elderly Gastric adenocarcinoma 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Emily McCracken
    • 1
  • Sarah Hatch
    • 2
  • Dan G. BlazerIII
    • 1
  1. 1.Department of SurgeryDuke University Medical CenterDurhamUSA
  2. 2.The Ohio State University School of MedicineOhio State UniversityColumbusUSA

Section editors and affiliations

  • Jason Johanning
    • 1
  • Sandhya Lagoo-Deenadayalan
    • 2
  1. 1.Department of SurgeryUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.Duke MedicineDurhamUSA

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