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Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis

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Resumo:Aim: Gastric cancer is the cancer with the highest rate of peritoneal metastization and this type of spread is associated with a higher death rate compared to distant organ metastasis. The systemic chemotherapy has a minimal effect in peritoneal metastasis so new types of treatment have emerged. The authors revised the main studies done in pressurized intraperitoneal aerosol chemotherapy (PIPAC) and presented the main conclusions. Methods: A PubMed search was conducted focusing on PIPAC in gastric cancer. The MeSH database was searched with the terms: “Gastric cancer [MeSH] and intraperitoneal aerosol chemotherapy”. Results: Seven studies were analyzed. All the studies performed the technique with aerosol of doxorubicin and cisplatin. All cases were well tolerated, with minor adverse effects. Patients presented resolution of their abdominal symptoms and regression of macroscopic carcinomatosis. Cytoreductive surgery or hypertermic intraperitoneal chemotherapy could be performed in some patients with good response to PIPAC. The peritonitis caused by the chemotherapy was well tolerated. Conclusion: PIPAC can induce remission in end-stage and resistant disease with acceptable side effects, good safety levels for patients and health professionals, and quality of life improvement.
Autores principais:Macedo, Filipa
Outros Autores:Ladeira, Kátia; Longatto, Adhemar; Martins, Sandra
Assunto:Pressurized intraperitoneal aerosol chemotherapy Gastric cancer Peritoneal carcinomatosis Ciências Médicas::Medicina Básica
Ano:2018
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Macedo, Filipa
author2 Ladeira, Kátia
Longatto, Adhemar
Martins, Sandra
author2_role author
author
author
author_facet Macedo, Filipa
Ladeira, Kátia
Longatto, Adhemar
Martins, Sandra
author_role author
contributor_name_str_mv RepositóriUM - Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Macedo, Filipa\"},{\"Person.name\":\"Ladeira, Kátia\"},{\"Person.name\":\"Longatto, Adhemar\"},{\"Person.name\":\"Martins, Sandra\"}]
datacite.contributors.contributor.contributorName.fl_str_mv RepositóriUM - Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Macedo, Filipa
Ladeira, Kátia
Longatto, Adhemar
Martins, Sandra
datacite.date.Accepted.fl_str_mv 2018-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2019-01-14T17:27:35Z
datacite.date.embargoed.fl_str_mv 2019-01-14T17:27:35Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Pressurized intraperitoneal aerosol chemotherapy
Gastric cancer
Peritoneal carcinomatosis
Ciências Médicas::Medicina Básica
datacite.titles.title.fl_str_mv Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
dc.contributor.none.fl_str_mv RepositóriUM - Universidade do Minho
dc.creator.none.fl_str_mv Macedo, Filipa
Ladeira, Kátia
Longatto, Adhemar
Martins, Sandra
dc.date.Accepted.fl_str_mv 2018-01-01T00:00:00Z
dc.date.available.fl_str_mv 2019-01-14T17:27:35Z
dc.date.embargoed.fl_str_mv 2019-01-14T17:27:35Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/58183
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv OAE Publishing Inc. (OAE)
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Pressurized intraperitoneal aerosol chemotherapy
Gastric cancer
Peritoneal carcinomatosis
Ciências Médicas::Medicina Básica
dc.title.fl_str_mv Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Aim: Gastric cancer is the cancer with the highest rate of peritoneal metastization and this type of spread is associated with a higher death rate compared to distant organ metastasis. The systemic chemotherapy has a minimal effect in peritoneal metastasis so new types of treatment have emerged. The authors revised the main studies done in pressurized intraperitoneal aerosol chemotherapy (PIPAC) and presented the main conclusions. Methods: A PubMed search was conducted focusing on PIPAC in gastric cancer. The MeSH database was searched with the terms: “Gastric cancer [MeSH] and intraperitoneal aerosol chemotherapy”. Results: Seven studies were analyzed. All the studies performed the technique with aerosol of doxorubicin and cisplatin. All cases were well tolerated, with minor adverse effects. Patients presented resolution of their abdominal symptoms and regression of macroscopic carcinomatosis. Cytoreductive surgery or hypertermic intraperitoneal chemotherapy could be performed in some patients with good response to PIPAC. The peritonitis caused by the chemotherapy was well tolerated. Conclusion: PIPAC can induce remission in end-stage and resistant disease with acceptable side effects, good safety levels for patients and health professionals, and quality of life improvement.
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eu_rights_str_mv openAccess
format article
fulltext.url.fl_str_mv https://repositorium.uminho.pt/bitstreams/5cb0e50e-8070-4c40-b83f-cd93e87d2989/download
id rum_db389e8fccfee22dbaec251e2b1d754d
identifier.url.fl_str_mv https://hdl.handle.net/1822/58183
instacron_str repositorium
institution Universidade do Minho
instname_str Universidade do Minho
language eng
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network_name_str RepositóriUM - Universidade do Minho
oai_identifier_str oai:repositorium.uminho.pt:1822/58183
organization_str_mv urn:organizationAcronym:repositorium
person_str_mv Macedo, Filipa
Ladeira, Kátia
Longatto, Adhemar
Martins, Sandra
publishDate 2018
publisher.none.fl_str_mv OAE Publishing Inc. (OAE)
reponame_str RepositóriUM - Universidade do Minho
repository_id_str urn:repositoryAcronym:rum
service_str_mv urn:repositoryAcronym:rum
spelling engOAE Publishing Inc. (OAE)porAim: Gastric cancer is the cancer with the highest rate of peritoneal metastization and this type of spread is associated with a higher death rate compared to distant organ metastasis. The systemic chemotherapy has a minimal effect in peritoneal metastasis so new types of treatment have emerged. The authors revised the main studies done in pressurized intraperitoneal aerosol chemotherapy (PIPAC) and presented the main conclusions. Methods: A PubMed search was conducted focusing on PIPAC in gastric cancer. The MeSH database was searched with the terms: “Gastric cancer [MeSH] and intraperitoneal aerosol chemotherapy”. Results: Seven studies were analyzed. All the studies performed the technique with aerosol of doxorubicin and cisplatin. All cases were well tolerated, with minor adverse effects. Patients presented resolution of their abdominal symptoms and regression of macroscopic carcinomatosis. Cytoreductive surgery or hypertermic intraperitoneal chemotherapy could be performed in some patients with good response to PIPAC. The peritonitis caused by the chemotherapy was well tolerated. Conclusion: PIPAC can induce remission in end-stage and resistant disease with acceptable side effects, good safety levels for patients and health professionals, and quality of life improvement.application/pdfporGastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosisMacedo, FilipaLadeira, KátiaLongatto, AdhemarMartins, SandraHostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptISSNIsPartOf2394-4722EISSNIsPartOf2454-2857DOIIsPartOf10.20517/2394-4722.2017.722019-01-14T17:27:35Z20182018-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/58183http://purl.org/coar/access_right/c_abf2open accessPressurized intraperitoneal aerosol chemotherapyGastric cancerPeritoneal carcinomatosishttp://www.oecd.org/science/inno/38235147.pdfFields of Science and Technology (FOS)Ciências Médicas::Medicina Básica517843 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorium.uminho.pt/bitstreams/5cb0e50e-8070-4c40-b83f-cd93e87d2989/download
spellingShingle Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
Macedo, Filipa
Pressurized intraperitoneal aerosol chemotherapy
Gastric cancer
Peritoneal carcinomatosis
Ciências Médicas::Medicina Básica
status SINGLETON
subject.fl_str_mv Pressurized intraperitoneal aerosol chemotherapy
Gastric cancer
Peritoneal carcinomatosis
subject.other.fl_str_mv Ciências Médicas::Medicina Básica
title Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
title_full Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
title_fullStr Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
title_full_unstemmed Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
title_short Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
title_sort Gastric cancer treated with pressurized intraperitoneal aerosol chemotherapy: revising an option for peritoneal carcinomatosis
topic Pressurized intraperitoneal aerosol chemotherapy
Gastric cancer
Peritoneal carcinomatosis
Ciências Médicas::Medicina Básica
topic_facet Pressurized intraperitoneal aerosol chemotherapy
Gastric cancer
Peritoneal carcinomatosis
Ciências Médicas::Medicina Básica
url https://hdl.handle.net/1822/58183
visible 1