Korean J Gastroenterol.  2014 Feb;63(2):66-81. 10.4166/kjg.2014.63.2.66.

Synopsis on Clinical Practice Guideline of Gastric Cancer in Korea: An Evidence-Based Approach

Affiliations
  • 1Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Medicine, Chung-Ang University College of Medicine, Seoul, Korea. jgkimd@cau.ac.kr
  • 3Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.
  • 4Department of Radiology and Institute of Radiation Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 5Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 6Department of Nuclear Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 7Department of Pathology, Inha University School of Medicine, Incheon, Korea.
  • 8Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea.
  • 9Center for Gastric Cancer, National Cancer Center, Goyang, Korea.
  • 10Department of Surgery, Seoul National University Hospital, Seoul, Korea.
  • 11Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 12Department of Internal Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
  • 13Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
  • 14Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine, Anyang, Korea.
  • 15Department of Medical Oncology, Yonsei University College of Medicine, Seoul, Korea.
  • 16Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 17Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 18Department of Pathology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
  • 19Department of Preventive Medicine, Korea University Medical College, Seoul, Korea.

Abstract

Although, gastric cancer is quite common in Korea, the treatment outcome is relatively favorable compared to that of Western countries. However, there is no Korean multidisciplinary guideline for gastric cancer and thus, a guideline adequate for domestic circumstances is required. Experts from related societies developed 22 recommendation statements for the diagnosis (n=9) and treatment (n=13) based on relevant key questions. Evidence levels based on systematic review of literatures were classified as five levels from A to E, and recommendation grades were classified as either strong or weak. The topics of this guideline cover diagnostic modalities (endoscopy, endoscopic ultrasound, radiologic diagnosis), treatment modalities (surgery, therapeutic endoscopy, chemotherapy, radiotherapy) and pathologic evaluation. External review of the guideline was conducted at the finalization phase.

Keyword

Stomach neoplasms; Guidelines

MeSH Terms

Antineoplastic Combined Chemotherapy Protocols/therapeutic use
Chemoradiotherapy, Adjuvant
Endoscopy, Gastrointestinal
Endosonography
Evidence-Based Medicine
Follow-Up Studies
Gastrectomy
Humans
Magnetic Resonance Imaging
Positron-Emission Tomography
Republic of Korea
Stomach Neoplasms/*diagnosis/pathology/therapy
Tomography, X-Ray Computed

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