medigraphic.com
ISSN 1561-3038 (Print)

2022, Number 2

<< Back Next >>

Rev Cubana Med Gen Integr 2022; 38 (2)

Clinical-epidemiological characteristics of gastric cancer in ''Calixto Garcia'' Hospital

Brismat RI, Morales TR, Gutiérrez RÁR

Language: Spanish
References: 19
Page:
PDF size: 599.62 Kb.


ABSTRACT

Introduction: Stomach cancer accounts for the second cause of death related to neoplasms worldwide; it is responsible for 8 % to 10 % of all cancer deaths. In spite of a marked decrease in its incidence, it constitutes one of the main causes of cancer death in Cuba and worldwide.
Objective: To describe the clinical-epidemiological characteristics of patients with gastric cancer.
Methods: An observational, descriptive and cross-sectional study was carried out with patients with a diagnosis of gastric cancer who attended consultation at Calixto García General University Hospital in the period from January 2014 to December 2018. The universe consisted of 146 patients. The data were obtained from medical records and processed by descriptive statistics.
Results: Of the patients studied, 67.6 % were male and aged 60-79 years. 51.7 % presented smoking as a risk factor. A total of 124 patients suffered from abdominal pain. 100 % of the complementary examinations performed were endoscopy and biopsy. Moderately differentiated adenocarcinoma was observed in a total of 80 patients. The surgical treatment was performed in 100 %. The most commonly used surgical technique was subtotal gastrectomy.
Conclusions: The research suggests that, currently, early diagnosis and surgery is the only modality with curative potential, being able to raise the quality of life, as well as to improve morbidity and mortality rates in the population.


REFERENCES

  1. Kitagawa Y, Dempsey TD. Malignant neoplasm of the stomach. En: Charles Brunicardi F, Anderson Dana K, Billiar Timothy R, Dunn David L, Hunter John G, editores, et al. Schawartz Principios de Cirugía. 10a. ed. México: Mc Graw-Hill Interamericana editores, SA de CV; 2015. p. 1074-95.

  2. Teitelbaum NE, Hungness SE, Mahvi MD. Gastric Cancer. En: Towsand Courtney M Jr, Beauchamp R Daniel, Evers Mark B, Mattox Kenneth L, Aarons Cary B, editors, et al. Sabinston Textbook of Surgery: The biological basis of moden surgical practice. 20ª. ed. Canadá: Elsevier; 2017. p. 1213- 31.

  3. Ruíz de las Labranderas Delgado D, Cruz Abreu AE, González Rodríguez LD, Jiménez Viltres YR. Comportamiento clínico-epidemiológico del cáncer gástrico en el Hospital Manuel Ascunce durante 5 años. Rev Progaleno. 2019 [acceso: 21/09/2020];2(1):6-16. Disponible en: http://www.revprogaleno.sld.cu/index3.

  4. Sonia Bess C, Alonso Aloma I, Sánchez Sordo E, López Nistal LM. Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Cuba. 2018 [acceso: 21/09/2020];35(2):915-9. Disponible en: http://bvscuba.sld.cu/anuario-estadistico-de-cuba4.

  5. Gámez Sánchez D, Dueñas Moreira O, Alfonso Sagué K, Pérez Jiménez D, González Cruz R, Corona Miranda B. Estratificación de riesgo del cáncer gástrico, Cuba 2000-2015. QhaliKay. Revista de Ciencias de la Salud. 2020 [acceso: 21/09/2020];4(1):1-8. Disponible en: https://revistas.utm.edu.ec/index.php/QhaliKay/issue/view/1985.

  6. Sumiyama, K. Past and current trends in endoscopic diagnosis for early stage gastric cancer in Japan. Gastric Cancer. 2017;20(Supp1):20-7. DOI: https://doi.org/10.1007/s10120-016-0659-46.

  7. Russo EA, Strong EV. Gastric Cancer Etiology and Management in Asia and the West. Annual Review of Medicine. 2019;70(1):353-67. DOI: https://doi.org/10.1146/annurev-med-081117-0434367.

  8. Rawlacorresponding P, Barsouk A. Epidemiology of gastric cancer: global trends, risk factors and prevention Prz Gastroenterol. 2019;14(1):26-38. DOI: https://doi.10.5114/pg.2018.800018.

  9. Li Z, Gao X. Looking back 2018--focused on gastric cancer. Chinese Journal of Gastrointestinal Surgery. 2019 [acceso: 21/09/2020];22(1):1-8. Disponible en: https://europepmc.org/article/med/307037869.

  10. Lee JWJ, Lim LG, Yeoh KG. Advancedendoscopic imaging ingastric neoplasia and preneoplasia. BMJ Open Gastro. 2017;4(2):e000105. DOI: https://doi:10.1136/bmjgast-2016-00010510.

  11. Asociación Médica Mundial. Declaración de Helsinki. Principios éticos para las investigaciones médicas en seres humanos. Corea: Representación AMM. 2008 [acceso: 12/06/2020]. Disponible en: http://bvs.sld.cu/revistas/recursos/helsinki.pdf11.

  12. Crespo Ramírez E, González Pérez S, López Vásquez N, Pagarizabal Nuñez S. Cáncer gástrico en pacientes atendidos en servicio de endoscopia digestiva Rev Ciencias Médicas. 2017 [acceso: 21/09/2020];21(5):46-53. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S156131942017000500008&Ing=es12.

  13. Valenzuela E, Katerina F, Criollo Na, Rodis AR. Factores relacionados a cáncer gástrico en un hospital público de Huánuco. Rev Peru Investig Salud. 2018;2(1):42-9. DOI: https://doi.org/10.35839/repis.2.1.21213.

  14. Rojas SM, Pino RH, Vargas LG. Experiencia quirúrgica de 10 años de cáncer gástrico en un hospital de tercer nivel, 2007-2016. Rev Colomb Cir. 2019;34(1):55-9. DOI: https://doi.org/10.30944/20117582.9814.

  15. Canseco Ávila LM, Zamudio Castellanosa FY, Sánchez González RA, Trujillo Vizueta MG, Domínguez Arrevillaga S, López López CA. Epidemiología de cáncer gástrico en el tercer nivel de atención en salud en Chiapas. Revista de Gastroenterología de México. 2019;84(3):507-18. DOI: https://doi.org/10.1016/j.rgmx.2018.06.00615.

  16. Montoya M, Gómez R, Ahumada F, Martelo A, Toro J, Pérez E. Caracterización de 130 pacientes sometidos a gastrectomía por cáncer gástrico en el Instituto de Cancerología Clínica Las Américas de Medellín. Rev Colomb Cancerol. 2016;20(2):73-8. DOI: http://dx.doi.org/10.1016/j.rccan.2016.01.00216.

  17. Avalos García R, Morales Díaz M. Romero Bareira SR, Laud Martínez PM. Comportamiento del cáncer gástrico avanzado diagnosticado por videoendoscopía en el Hospital "Faustino Pérez Hernández", Matanzas. Rev Méd Electrón. 2017 [acceso: 02/05/2019];39(3):507-18. Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/2072/344117.

  18. Giménez RDH, Aguirre LD, Pérez LR, Fernandez CP, Caruso R, Ferri V, et al. Comparative study between total and subtotal gastrectomy for distal gastric cancer: Meta-analysis of prospective and retrospective studies. Cir Esp. 2020;20(30):6-16. DOI: https://doi.org/10.1016/j.ciresp.2020.05.02818.

  19. Manterola C, Claros Nataniel N. Results of Surgical Treatment of Advanced Gastric Cancer. Case Series with Follow-Up. Int. J. Morphol. 2020;38(5):1479-84. DOI: http://dx.doi.org/10.4067/s0717-950220200005147919.




2020     |     www.medigraphic.com