The Dynamic Changing Incidence of Gastric Cancer in Israel: Time for a National Surgical Management Committee?

Viacheslav Bard*, Baruch Brenner, Hanoch Kashtan

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

There has been a general reduction over the last 20 years in the incidence within Israel of gastric cancer (GC). This has particularly been noted in the Jewish population with a slight increase in the incidence of cancer of the gastroesophageal junction among Jews of Sephardi origin. Given the diversity of individual ethnic subpopulations, the effects of GC incidence in second-generation immigrant Jews, particularly from high prevalence regions (e.g., the former Soviet Union, Iraq, and Iran), awaits determination. There are currently no national data on GC-specific mortality. The most recent available cross-correlated Israeli National Cancer Registry (INCR) and International Association for Cancer Research (IARC) incidence data for GC of the body and antrum in Israel are presented. Some of the challenges associated with GC monitoring in the changing Israeli population are discussed. We propose the establishment of a national GC management committee designed to collect demographic and oncological data in operable cases with the aim of recording and improving GC-specific outcomes. We believe that there is value in the development of a national surgical planning program, which oversees training and accreditation in a dynamic environment that favors the wider use of neoadjuvant therapies, minimally invasive surgery and routine extended (D2) lymphadenectomy. These changes should be supported by assessable enhanced recovery programs.

Original languageEnglish
Pages (from-to)112-116
Number of pages5
JournalIsrael Medical Association Journal
Volume24
Issue number2
StatePublished - Feb 2022

Keywords

  • D2 lymphadenectomy
  • gastric cancer in Israel
  • laparoscopic gastrectomy
  • robotic gastrectomy
  • stomach cancer

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