Clinical Challenges in Surgical Oncology: Gastric Cancer

Join the Behind the Knife Surgical Oncology Team as we discuss the presentation, work-up, and management of gastric cancer.Hosts:- Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center- Connor Chick, MD (@connor_chick) is a Surgical Oncology fellow at Ohio State University.- Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-6 General Surgery resident at Brooke Army Medical Center- Beth (Elizabeth) Carpenter, MD (@elizcarpenter16) is a PGY-5 General Surgery resident at Brooke Army Medical CenterLearning Objectives:In this episode, we review the basics of gastric cancer, including presentation, work-up, staging, and treatment modalities as well as high yield topics including the Siewert classification system. We also briefly discuss trials establishing peri-operative chemotherapy regimens for gastric cancer and the controversy of D1 vs. D2 lymphadenectomy.Links to Papers Referenced in this EpisodePerioperative Chemotherapy versus Surgery Alone for Resectable Gastroesophageal Cancer.NEJM 2006 Jul;355(1):11-20.https://www.nejm.org/doi/full/10.1056/NEJMoa055531Perioperative chemotherapy with fluorouracil plus leucovorin, oxaliplatin, and docetaxel versus fluorouracil or capecitabine plus cisplatin and epirubicin for locally advanced, resectable gastric or gastro-oesphageal junction adenocarcinoma (FLOT4): a randomized, phase2/3 trialLancet 2019 May;393(10184):1948-1957.https://pubmed.ncbi.nlm.nih.gov/30982686/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen