Z Gastroenterol 2019; 57(12): e418-e671
DOI: 10.1055/a-1018-2426
Leitlinienreport
© Georg Thieme Verlag KG Stuttgart · New York

Leitlinienreport zur S3-Leitlinie Magenkarzinom – „Diagnostik und Therapie der Adenokarzinome des Magens und ösophagogastralen Übergangs“

Version 2.0 – August 2019 – AWMF-Registernummer: 032/009OL
Markus Moehler
,
Thomas Langer
,
Tanja Bender
,
Julia Kofent
,
Friederike Greiwe
,
Heinrike Jost
,
Georgia Koukli
,
Annika Orthey
,
Carolin Rolfes
,
Catharina Wald
,
Simone Wesselmann
,
Markus Follmann
,
Susanne Unverzagt
Further Information

Publication History

Publication Date:
14 January 2020 (online)

1. Informationen zum Leitlinienreport

1.1. Autoren des Leitlinienreports

Markus Moehler, Thomas Langer, Tanja Bender, Julia Kofent, Friederike Greiwe, Heinrike Jost, Georgia Koukli, Annika Orthey, Carolin Rolfes, Catharina Wald, Simone Wesselmann, Markus Follmann, Susanne Unverzagt

Tab. 1

Mitarbeit an der Leitlinie.

Art der Tätigkeit

Zeitraum

Name

Statistische Doktoranden

2014–2016

Hannah Andrae, Yousif Faddah, Christian Hagemann, Daniel Krutsch

Statistische Doktoranden

2016–2018

Friederike Greiwe, Heinrike Jost, Georgia Koukli, Annika Orthey, Caroline Rolfes, Catharina Wald

Freie Mitarbeit

2018

Dr. rer. nat. Julia Kofent


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1.2. Herausgeber

Leitlinienprogramm Onkologie der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V. (AWMF), Deutschen Krebsgesellschaft e. V. (DKG) und Deutsche Krebshilfe (DKH).


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1.3. Federführende Fachgesellschaft(en) der Leitlinie

Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten e. V.

Zoom Image

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1.4. Finanzierung der Leitlinie

Die Erstellung und Aktualisierung dieser Leitlinie wurde von der Deutschen Krebshilfe im Rahmen des Leitlinienprogramms Onkologie gefördert.


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1.5. Kontakt

Office Leitlinienprogramm Onkologie c/o Deutsche Krebsgesellschaft e. V.
Kuno-Fischer-Straße 8
14057 Berlin
leitlinienprogramm@krebsgesellschaft.de
www.leitlinienprogramm-onkologie.de


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1.6. Zitierweise des Leitlinienreports

Leitlinienprogramm Onkologie (Deutsche Krebsgesellschaft, Deutsche Krebshilfe, AWMF): S3-Leitlinie Magenkarzinom, Leitlinienreport Version 2.0, 2019, AWMF Registernummer: 032/009OL, https://www.leitlinienprogramm-onkologie.de/


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1.7. Weitere Dokumente zur Leitlinie

Die Leitlinie liegt als Lang- und Kurzversion vor. Außerdem gibt es eine Patientenleitlinie (Laienversion der Leitlinie). Alle Dokumente zur Leitlinie sind über die folgenden Seiten zugänglich:


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1.8. Allgemeine Informationen zur Leitlinie

In der Langversion der Leitlinie sind die Adressaten und diejenigen Ziele aufgeführt, die mit der Erstellung und Implementierung der Leitlinie verfolgt werden. Darüber hinaus enthält die Langversion Angaben zur Gültigkeit, dem geplanten Aktualisierungsverfahren und den Personen und Institutionen, die an der Erstellung der Leitlinien beteiligt waren.


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1.9. Abkürzungsverzeichnis

Tab. 2

Abkürzungsverzeichnis

Abkürzung

Erläuterung

18F-FDG PET/CT

18 Fludeoxyglucose – PET/CT

18-F-FLT-PET

18 F – Fluorothymidin Positron Emissions Tomografie

5-FU

5-Fluorouracil

AE

Adverse Event; unerwünschtes Ereignis

AEG

Adenokarzinom des ösophagogastralen Übergangs

AFI-NBI

Autofluorescence imaging – narrowband imaging

AJCC

American Joint Committee on Cancer; Amerikanisches Krebskomitee

AL

Chromosomenendoskopie mit Indigocarmin Farbstoff plus Essigsäure

AMFR

Autokriner Motilitätsfaktor-Rezeptor

ASA

Risikoklassifikation der American Society of Anaesthesiologists

ASCO

American Society of Clinical Oncology; Amerikanische Krebsgesellschaft

ASPC

Accordion Severity Classification of Postoperative Complications

AUC

Area under the curve

AWMF

Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V.

ÄZQ

Ärztliches Zentrum für Qualität in der Medizin

BMI

Body Mass Index

BSC

Best supportive care

CA19–9

Carboanhydrate Antigen 19–9

CAIX

Carboanhydrase IX

CEA

Carcinoembryonales Antigen

CEBM

Oxford Centre for Evidence-based Medicine

ceMDCT

Contrast-enhanced multidetector-row computer tomography

CENTRAL

Cochrane Central Register of Controlled Trials

CG

Conventional group; Konventionelle Gruppe

CHPP

(Intraoperative) chemohyperthermic peritoneal perfusion

CINAHL

Cumulative Index to Nursing and Allied Health Literature

CLE

Konfokale Laser Endomikroskopie

CNS

Central Nervous System; zentrales Nervensystem

CR

Complete remission; Komplette Remission

CR+PR

Response; Ansprechen

CRP

C-reaktives Protein

CRS

Cytoreductive surgery; zytoreduktive Chirurgie

CT

Computertomografie

CTh

Chemotherapie

CTLA-4

Zytotoxische T-Lymphozyten assoziiertes Molekül 4

CTX

Chemotherapie

Cvc

Computed virtual chromoendoscopy

Cyt-

Negative Zytologie

Cyt+

Positive Zytologie

DCF

Chemotherapy Regime containing Docetaxel, Cisplatin and 5-FU

DFS

Disease free survival; Krankheitsfreies Überleben

DKG

Deutsche Krebsgesellschaft e. V.

DKH

Deutsche Krebshilfe e. V.

DOR

Diagnostische Odds Ratio

DSS

Krankheitsspezifisches Überleben

EBV

Ebstein-Barr-Virus

ECF

Epirubicin, Cisplatin, Fluorouracil

ECG

Early gastric cancer

ECOG

Leistungsstatus/Eastern Co-operative Oncology Group

ECX

Epirubicin, Cisplatin, Capecitabine

EGC

Early gastric cancer

EGFR

Epidermal Growth Factor Receptor

ELISA

Enzyme-linked Immunosorbent Assay

EMBASE

Excerpta Medica dataBASE

EMR

Endoskopische Mukosaresektion

EOF

Epirubicin, 5-Fluorouracil, Oxaliplatin

ErbB2

Human epidermal growth factor receptor 2

ERCC1

Excision repair cross complementation-Gruppe 1

ESD

Endoskopische Submukosa-Dissektion

ESMO

European Society for Medical Oncology

EUS

Endoskopischer Ultraschall

EUS

Endoskopischer Ultraschall (Syn. Endosonografie)

F

Female

FEM

Fixed Effektmodel

FEV1

Forcierte Einsekundenkapazität

FGFR2

Fibroblasten Wachstumsfaktorrezeptor 2

FGL

Focal gastric lesion

FLO

5-FU, Leucovorin, Oxaliplatin

FLOT

5-FU, Leucovorin, Oxaliplatin, Docetaxel

FN

False negative

FOLFIRI

Folinsäure, 5-FU, Irinotecan

FP

False positive

G/GEJ

Magenadenokarzinom und Adenokarzinom des Gastroösophagealen Übergangs

GC

Gastric Cancer (Magenkarzinom)

GEJ

Gastroesophageal Junction

GEKID

Gesellschaft der epidemiologischen Krebsregister in Deutschland e. V.

GENs

Gastroösophageale Neoplasien

G-I-N

Guidelines International Network

Gy

Gray

H.p.

Helicobacter pylori

HD-WLE

High-definition white light endoscopy

HER2

Humaner epidermaler Wachstumsfaktor-Rezeptor 2

HIPEC

Hypertherme intraperitoneale Chemotherapie

HR

Hazard Ratio

HTA

Health Technology Report

I2

Heterogenitätsmaß

IGKC

Immunglobulin kappa C

ich

Immunhistochemie

IM

Intestinale Metaplasie

int.

international

IPC

Intraperitoneal chemotherapy

IPCC

Intraperitoneale freie Krebszellen

IPHC

Intraperitoneal hyperthermic chemoperfusion

IQR

Interquartile range

IQWiG

Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen

ITT

Intention-to-treat

J

Jahre

JG

Jumbo-Zangen

k. A.

Keine Angabe

KI

Konfidenzintervall

LADG

Laparoskopisch-assistierte distale Gastrektomie

LAG

Laparoskopisch-assistierte Gastrektomie

LG

Laparoskopische distale Gastrektomie

LN

Lymph node

LR

Likelihood ratio

Lv

Leucovorin

M

männlich

MA

Meta-Analyse

MAPF–

Negativer

MAPF +

Positiver

MCT4

Monocarboxylattransporter 4 Protein

MD

Mittlere Differenz

mDCF

Modified Chemotherapy Regime containing Docetaxel, Cisplatin and 5-FU

MDCT/MD-CT

Multi-Detektor-Computertomografie

MEDLINE

MEDical Literature Analysis and Retrieval System OnLINE

ME-NBI

Magnifying endoscopy-narrow-band imaging

MET/Met

tyrosine-protein kinase Met

MMR

Mismath Repair

MRI

Magnetic resonance imaging

MRT

Magnetresonanztomografie

MSI

Mikrosatelliteninstabilität

N

Number of patients; Zahl der Patienten

NBI

Narrow band imaging

NGC

National Guideline Clearinghouse

NIH

National Institutes of Health

NM

mikroskopisch negativer (tumorfreier) Resektionsrand

NNT

Number needed to treat

NPV

Negativ prädiktiver Wert

nRT

chirurgische Resektion ohne Radiotherapie

NYHA Stadium

Stadieneinteilung der Herzinsuffizienz der New York Heart Association

OCEBM

Oxford Centre for Evidence-based Medicine

ODG

offene distale Gastrektomie

OG

offene Gastrektomie

OL

Leitlinienprogramm Onkologie

OR

Odds Ratio

ORR

objektive Ansprechrate

OS

Gesamtüberleben

P

p-value (probability)

P

Result of Cochranʼs Q test

PC

Peritonealkarzinose

PCR

Polymerasekettenreaktion

pCR

histopathologisch komplette Remission

PD

Progressive Krankheit

PD

Peritonealerkrankung

PD-L1

Programm-Zelltod 1 Ligand 1

PET

Positonen-Emissions-Tomografie

PET-CT

Positonen-Emissions-Tomografie-Computertomografie

PFS

Progressionsfreies Überleben

PIPAC

Pressurized Intraperitoneal Aerosol Chemotherapy

PL

Peritoneallavage

PM

mikroskopisch positiver Resektionsrand

pPR

histopathologisch partielle Regression

PPV

Positv prädiktiver Wert

PR

Partielle Remission

PRF

Rekurrentes freies Überleben

PRSC

prognostischer Score

PS

Performance status

QLQ-C30

European Organization for Research and Treatment of Cancer Quality of Life Questionnaire core 30 items version 3, Karnofsky

QoL

Quality of life

QUADAS

Quality Assessment of Diagnostic Accuracy Studies

R0

mikroskopisch negativer (tumorfreier) Resektionsrand

R1

mikroskopisch positiver Resektionsrand

RCT

Randomized controlled trails; randomisierte kontrollierte Studie

RCT

Radiochemotherapie

RD

Risikodifferenz

RECIST

Response Evaluation Criteria In Solid Tumors

REM

Random Effect Model

RFS

Regressionsfreies Überleben

ROC

Receiver Operating Characteristic

RR

Relatives Risiko

RT

chirurgische Resektion mit adjuvanter Radiotherapie

RTK

Rezeptor Tyrosinkinase

SC

Supportive care

SD

Stabile Erkrankung

SD+PD

Nonresponse

SE/Se

Sensitivität

SEER

Surveillance, Epidemiology, and End Result registry database

SL

Staging Laparoskopie

SMD

standardisierte mittlere Differenz

SNP

Single-nucleotide polymorphisms

Spe

Spezifität

SR

Systematischer Review

SUV(max)

Maximaler Standardisierter Uptake-Wert

SUV(peak)

Peak standardized uptake value

TLR(max)

SUV(max) of tumour to SUV(mean) of normal liver ratio

TLR(peak)

SUV(peak) of tumour to liver ratio

TMA

Gewebs-Mikroarrays

TN

True negative

TNF-α

Tumornekrosefaktor α

TNM

Classification system; Klassifikationssystem

TP

True positive, wahr positiv

TRG

Tumorregressionsgrad

TTF

Time to Failure

TTR

Time to recurrence; Zeit bis Rekurrenz

VAP-1

Vaskuläres Adhäsionsprotein-1

UICC

Union internationale contre le cancer

VEGF

Vasculärer Endothelialer Wachstumsfaktor

vs.

versus

W

weiblich

WHO

Weltgesundheitsorganisation

WHO ICTRP

World Health Organization International Clinical Trials Registry Platform

WLE

Weißlicht-Endomikroskopie

WLG

White light gastroscopy; Weißlicht-Gastroskopie

WLI

White light imaging; Weißlichtbilder

x2

Chi square test

z. B.

zum Beispiel


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