Preoperative gastric lavage in gastric cancer patients undergoing surgical, endoscopic or minimally invasive treatment: an oncological measure preventing peritoneal spillage of intragastric cancer cells and development of related metastases
In addition to classical metastatic pathways, recently gastric cancer was described having an alternative route
called “endoluminal exfoliation”. Provisional analyses demonstrated, in fact, this kind of shedding is associated
with several clinico-pathological features indicative of aggressive behavior and resulted to be an independent
prognostic factor entailing poor prognosis. Compared with non-sowing counterparts, in fact, patients affected
with exfoliating early and advanced gastric carcinomas met with shorter overall survival, disease free survival,