April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA117
Academic Journal
Upper gastrointestinal (UGI) cancer is the third most common cause of cancer deaths in Great Britain. It is associated with a poor prognosis with a 75 percent mortality rate at 1 year. A typical district general hospital (DGH) serving 200,000 patients would expect to diagnose 75-100 UGI cancers per year, levels now considered too low to ensure continued surgical expertise. A large DGH with a service population of 400,000 may gain sufficient exposure to UGI cancer to ensure adequate surgical expertise in this field with acceptable surgical outcomes. The provision of a specialist multidisciplinary team ensures the appropriateness of treatment and provides the resource clinical audit.


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