Upper Gastrointestinal Cancer The Triumvirate Mr John P Griffith Consultant Gastrointestinal Surgeon The triumvirate Their incidence (per 100 000) • • • • Oesophagus Stomach Pancreas Locally M 14 M 24.3 – oesophagus 52 – stomach–
Download ReportTranscript Upper Gastrointestinal Cancer The Triumvirate Mr John P Griffith Consultant Gastrointestinal Surgeon The triumvirate Their incidence (per 100 000) • • • • Oesophagus Stomach Pancreas Locally M 14 M 24.3 – oesophagus 52 – stomach–
Upper Gastrointestinal Cancer The Triumvirate Mr John P Griffith Consultant Gastrointestinal Surgeon The triumvirate Their incidence (per 100 000) • • • • Oesophagus Stomach Pancreas Locally M 14 M 24.3 12 – oesophagus 52 – stomach 102 – pancreas 54 (1/3) (1/2) (1/20) F 9 F 14 The triumvirate Changes in incidence • Oesophagus • Gastric AdenoCA of cardia increasing Falling (proximal migration) • Pancreas Static Risk factors • • • • • Age majority > 70 years Alcohol independent and synergistic Tobacco Diet Reflux >5 years (not reduced by PPI) • Barretts oesophagus Outcome 1 & 5 year survival rates • Oesophagus 27% 9% • Stomach 28% 12% • Pancreas 12% 3%