Brazilian Group of Gastrointestinal Tumours’ consensus guidelines for the management of oesophageal cancer

2 Mar 2021
Duilio R Rocha-Filho, Renata D’Alpino Peixoto, Rui F Weschenfelder, Juliana F M Rego, Rachel Riechelmann, Anelisa K Coutinho, Gustavo S Fernandes, Alexandre A Jacome, Aline C Andrade, Andre M Murad, Celso AL Mello, Diego S C G Miguel, Diogo B D Gomes, Douglas J Racy, Eduardo D Moraes, Eduardo H Akaishi, Elisangela S Carvalho, Evandro S Mello, Fauze Maluf Filho, Felipe J S Coimbra, Fernanda C Capareli, Fernando F Arruda, Fernando M A C Vieira, Flavio R Takeda, Guilherme C C Cotti, Guilherme L S Pereira, Gustavo A Paulo, Héber S C Ribeiro, Laercio G Lourenco, Marcela Crosara, Marcelo G Toneto, Marcos B Oliveira, Maria de Lourdes Oliveira, Maria Dirlei Begnami, Nora M Forones, Osmar Yagi, Patricia Ashton-Prolla, Patricia B Aguillar, Paulo C G Amaral, Paulo M Hoff, Raphael L C Araujo, Raphael P Di Paula Filho, Rene C Gansl, Roberto A Gil, Tulio E F Pfiffer, Tulio Souza, Ulysses Ribeiro Jr, Victo Hugo F Jesus, Wilson L Costa Jr, Gabriel Prolla

Oesophageal cancer is among the ten most common types of cancer worldwide. More than 80% of the cases and deaths related to the disease occur in developing countries. Local socio-economic, epidemiologic and healthcare particularities led us to create a Brazilian guideline for the management of oesophageal and oesophagogastric junction (OGJ) carcinomas. The Brazilian Group of Gastrointestinal Tumours invited 50 physicians with different backgrounds, including radiology, pathology, endoscopy, nuclear medicine, genetics, oncological surgery, radiotherapy and clinical oncology, to collaborate. This document was prepared based on an extensive review of topics related to heredity, diagnosis, staging, pathology, endoscopy, surgery, radiation, systemic therapy (including checkpoint inhibitors) and follow-up, which was followed by presentation, discussion and voting by the panel members. It provides updated evidence-based recommendations to guide clinical management of oesophageal and OGJ carcinomas in several scenarios and clinical settings.