{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:01:38Z","timestamp":1756382498310},"reference-count":19,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:p>A neoplasia g\u00e1strica \u00e9 doen\u00e7a heterog\u00eanea e multifatorial, com incid\u00eancia e mortalidade variando geograficamente. Aproximadamente 60% dos diagn\u00f3sticos em pacientes de pa\u00edses ocidentais ocorrem nos est\u00e1dios III ou IV. Nestes doentes, o melhor tratamento consiste na realiza\u00e7\u00e3o de procedimento cir\u00fargico. OBJETIVO: Identificar os aspectos epidemiol\u00f3gicos de pacientes diagnosticados com adenocarcinoma g\u00e1strico T4b. M\u00c9TODOS: Estudo observacional, transversal, retrospectivo, de fonte secund\u00e1ria, dos pacientes diagnosticados com adenocarcinoma g\u00e1strico T4b atrav\u00e9s de estadiamento patol\u00f3gico. Foram analisados 815 prontu\u00e1rios, sendo 27 pacientes estudados. As vari\u00e1veis investigadas foram: aspectos demogr\u00e1ficos, principais queixas, fatores de risco, acesso ao servi\u00e7o de sa\u00fade, aspectos cir\u00fargicos, morbidade, mortalidade e sobrevida. RESULTADOS: Vinte e dois eram homens (81,5%) e cinco mulheres (18,5%) com idade variando de 38 a 87 e m\u00e9dia de 58,78 anos. O tempo de acesso ao servi\u00e7o, em meses, variou de 1 a 120, com m\u00e9dia de 12,5. Os sinais e sintomas mais prevalentes foram: perda de peso 23 (85,2%), epigastralgia 22 (81,5%), v\u00f4mitos 16 (59,3%) e plenitude g\u00e1strica 12 (44,4%). A frequ\u00eancia de acometimento das estruturas adjacentes foi: p\u00e2ncreas oito (29,6%), f\u00edgado sete (25,9%), c\u00f3lon transverso seis (22,2%), intestino delgado seis (22,2%), mesoc\u00f3lon tr\u00eas (11,1%), ba\u00e7o um (3,7%) e ves\u00edcula biliar um (3,7%). Morbidades p\u00f3s-operat\u00f3rias ocorreram em 51,85% dos pacientes. Houve associa\u00e7\u00e3o significativa entre mortalidade cir\u00fargica e ocorr\u00eancia de f\u00edstula\/deisc\u00eancia, choque s\u00e9ptico e sangramento. A sobrevida ao final de seis meses foi de 63,27%. CONCLUS\u00c3O: A m\u00e9dia do tempo entre in\u00edcio dos sintomas e acesso ao servi\u00e7o de sa\u00fade especializado foi elevada. Mais da metade dos pacientes apresentaram morbidades p\u00f3s-operat\u00f3rias. Os pacientes que apresentaram f\u00edstula\/deisc\u00eancia, sangramentos e choque s\u00e9ptico tiveram associa\u00e7\u00e3o significativa com mortalidade cir\u00fargica. A sobrevida ao final de seis meses foi de 63,27%.<\/jats:p>","DOI":"10.1590\/s0102-67202013000400004","type":"journal-article","created":{"date-parts":[[2014,2,8]],"date-time":"2014-02-08T13:28:45Z","timestamp":1391866125000},"page":"268-273","source":"Crossref","is-referenced-by-count":4,"title":["Adenocarcinoma g\u00e1strico T4b: experi\u00eancia de 12 anos em Hospital Universit\u00e1rio"],"prefix":"10.1590","volume":"26","author":[{"given":"Bernard Costa","family":"Favacho","sequence":"first","affiliation":[{"name":"Universidade Federal do Par\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carleno da Silva","family":"Costa","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thamer Costa","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Pimentel de","family":"Assump\u00e7\u00e3o","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geraldo","family":"Ishak","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"126","article-title":"Postoperative complications after total gastrectomy in the gastric cancer: analysis of 300 patients","volume":"24","author":"Andreollo NA","year":"2011","journal-title":"ABCD Arq Bras Cir Dig"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"121","DOI":"10.32635\/2176-9745.RBC.2009v55n2.1641","article-title":"Perfil Cl\u00ednico-Epidemiol\u00f3gico das Neoplasias de Est\u00f4mago: Atendidas no Hospital do C\u00e2ncer do Instituto do C\u00e2ncer do Cear\u00e1, no Per\u00edodo 2000-2004","volume":"55","author":"Arregi MMU","year":"2009","journal-title":"Rev. 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