{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:00:51Z","timestamp":1772967651603,"version":"3.50.1"},"reference-count":103,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[1996,6,1]],"date-time":"1996-06-01T00:00:00Z","timestamp":833587200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1996,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Two main approaches are suggested to improve treatment results in resectable gastric cancer: extended lymph-adenectomy and adjuvant antitumour therapy. Progress is to some extent stalled by the perception of gastric cancer as a pathophysiologically uniform disease; it has been demonstrated, however, that there are variants of gastric cancer associated with predominantly intra-abdominal spread or with haematogenous metastases. Recent clinicopathological studies have provided information about the mechanisms of this metastatic diversity. A review of clinical trials suggests that no single method of treatment can efficiently address all variants of gastric cancer spread, but new treatment strategies may be based on defining the pathophysiological variant of gastric cancer and selecting adjuvant therapy according to the most probable mode of tumour spread. Treatment should start with surgery which includes a \u2018reasonably\u2019 extended lymphadenectomy aimed at achieving an increased rate of curative resection and more accurate staging. Risk factors for peritoneal spread of tumour require the perioperative use of intraperitoneal chemotherapy. Subsequent adjuvant therapy may be indicated in patients at high risk of further cancer spread or occult metastases, as determined by pathological examination of the resected specimen.<\/jats:p>","DOI":"10.1002\/bjs.1800830605","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T17:38:31Z","timestamp":1172857111000},"page":"726-733","source":"Crossref","is-referenced-by-count":61,"title":["Strategies to decrease the incidence of intra-abdominal recurrence in resectable gastric cancer"],"prefix":"10.1093","volume":"83","author":[{"given":"A M","family":"Averbach","sequence":"first","affiliation":[{"name":"The Washington Cancer Institute, The Washington Hospital Center , 110 Irving Street NW, Washington DC 20 010,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Jacquet","sequence":"additional","affiliation":[{"name":"The Washington Cancer Institute, The Washington Hospital Center , 110 Irving Street NW, Washington DC 20 010,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1996,6,1]]},"reference":[{"key":"2024092909465618800_bib1","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1002\/bjs.1800790404","article-title":"Improving survival in gastric cancer: review of 5-year survival rates in English language publication from 1970","volume":"79","author":"Akoh","year":"1992","journal-title":"Br J Surg"},{"key":"2024092909465618800_bib2","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1007\/BF01658714","article-title":"Comparison of factors influencing the prognosis of Japanese, German, and Dutch gastric cancer patients","volume":"17","author":"Bonenkamp","year":"1993","journal-title":"World J Surg"},{"key":"2024092909465618800_bib3","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1097\/00000658-199321850-00002","article-title":"Cancer of the stomach. 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