For postoperative gastric patients status post total gastrectomy, how do you approach anastamotic coverage?

Topics: Radiation Oncology • Gastrointestinal Cancers

Detailed instructions regarding lymph node coverage have been published, but how do you think about coverage of the anastamoses from the gastrectomy?

Answer from: Radiation Oncologist at Academic Institution

In the Gunderson re-op studies, local regional recurrences occurred in 38% of patients when assessed clinically, 67% when assessed by re-operation and 80-90% at autopsy. Of the local recurrences, 25% occurred at the anastomosis or duodenal stump when assessed clinically or by reoperation, and 50-60%...

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Radiation Oncologist at UTHSCSA
Great answer! I think Critics 2 will be a good stu...

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