Enfoque terapéutico del cáncer gástrico. Revisión de la literatura Approach to Gastric Cancer-Literature Review

Gastric cancer is a health problem both worldwide and in Colombia; the majority of patients are diagnosed with locally advanced disease and with increasingly poor prognosis. Surgical resection is the mainstay of treatment, which should be carried out with the proper selection of patients based on clinical staging, and in some cases, interventionist. Due to high rates of locoregional and systemic recurrence, surgery should be complemented with perioperative chemotherapy and adjuvant chemoradiotherapy, as each case warrants; this improves disease-free survival and overall survival. Patients whose advanced state cannot be managed with surgery are to be referred to palliative treatment with chemotherapy or chemoradiotherapy. The study and analysis of these patients should be multidisciplinary due to the complexity of their pathologies and to the diversity of treatment options.