Our experience shows that emergency lifesaving
intervention can be successfully followed by transfer for emergency cancer therapy with reasonable survival. Emergency presentation is usually associated with advanced disease stage and resources should be diverted towards Selleckchem ARRY-438162 early diagnosis, increasing patient awareness rather than upper GI surgical services on all District General Hospital site. References 1. Fuchs CS, Mayer RJ: Gastric carcinoma. N Engl J Med 1995, 333:32–41.PubMedCrossRef 2. Mortality Statistics: Cause. England and Wales 2007. Office for National Statistics, ; 2009. Ref Type: Report 3. Blackshaw GR, Stephens MR, Lewis WG, Paris HJ, Barry JD, Edwards P, et al.: Prognostic significance of acute presentation with emergency complications of gastric cancer. Gastric Cancer 2004, 7:91–96.PubMedCrossRef 4. Kasakura Y, Ajani JA, Mochizuki F, Morishita Y, Fujii M, Takayama T: Outcomes after emergency surgery for gastric perforation or severe bleeding in 4EGI-1 cell line patients with gastric cancer. J Surg Oncol 2002, 80:181–185.PubMedCrossRef 5. Kotan C, Sumer A, Baser M, Kiziltan R, Carparlar MA: An analysis of 13 patients with perforated gastric carcinoma: A surgeon’s nightmare? World J Emerg Surg 2008, 3:17.PubMedCrossRef 6. Roviello F, Rossi S, Marrelli D, de MG, Pedrazzani C, Morgagni P, et al.: Perforated gastric carcinoma: a report of 10 cases and review of
the literature. World J Surg Oncol 2006, 4:19.PubMedCrossRef click here 7. Ozmen MM, Zulfikaroglu B, Kece C, Aslar AK, Ozalp N, Koc M: Factors influencing mortality in spontaneous
gastric tumour perforations. J Int Med Res 2002, 30:180–184.PubMed 8. Kasakura Y, Ajani JA, Fujii M, Mochizuki F, Takayama T: Management of perforated gastric carcinoma: a report of 16 cases and review of world literature. Am Surg 2002, 68:434–440.PubMed 9. Lehnert T, Buhl K, Dueck M, Hinz U, Herfarth C: Two-stage radical gastrectomy for perforated gastric cancer. Eur J Surg Oncol 2000, 26:780–784.PubMedCrossRef 10. Bozzetti F, Gavazzi Methane monooxygenase C, Miceli R, Rossi N, Mariani L, Cozzaglio L, et al.: Perioperative total parenteral nutrition in malnourished, gastrointestinal cancer patients: a randomized, clinical trial. JPEN J Parenter Enteral Nutr 2000, 24:7–14.PubMedCrossRef 11. Ergul E, Gozetlik EO: Emergency spontaneous gastric perforations: ulcus versus cancer. Langenbecks Arch Surg 2009, 394:643–646.PubMedCrossRef 12. Fox JG, Hunt PS: Management of acute bleeding gastric malignancy. Aust N Z J Surg 1993, 63:462–465.PubMedCrossRef 13. Uchida S, Ishii N, Suzuki S, Uemura M, Suzuki K, Fujita Y: Endoscopic resection after endoscopic hemostasis for hemorrhagic gastric cancer. Hepatogastroenterology 2010, 57:1330–1332.PubMed 14. Huggett MT, Ghaneh P, Pereira SP: Drainage and Bypass Procedures for Palliation of Malignant Diseases of the Upper Gastrointestinal Tract. Clin Oncol (R Coll Radiol) 2010. 15.