{"title":"2025 Taiwan consensus and management guidelines for gastric cancer.","authors":"Chih-Chieh Yen, I-Chen Wu, Cheng-Chan Yu, Ming-Huang Chen, Nai-Jung Chiang, Wen-Liang Fang, Kuo-Hsing Chen, Chieh-Chang Chen, Tzu-Chan Hong, Yen-Cheng Chen, Ming-Wun Wong, De-Chuan Chan, I-Shu Chen, Yen-Yang Chen, Yueh-Wei Liu, Jiann-Ming Wu, Wen-Chi Chou, Chan-Keng Yang, Jun-Te Hsu, Ta-Sen Yeh, Li-Yuan Bai, Yi-Fang Chang, Yao-Yu Hsieh, Cheng-Ming Peng, Jaw-Yuan Wang, Hui-Hua Hsiao, Li-Tzong Chen, Kun-Ming Rau, Chia-Jui Yen, Jen-Shi Chen, Yan-Shen Shan","doi":"10.1016/j.jfma.2026.09.041","DOIUrl":null,"url":null,"abstract":"<p><p>Gastric cancer (GC) remains a significant health burden in Taiwan, where current international guidelines may not fully align with local clinical realities. This expert consensus presents the 2025 Taiwan Consensus and Management Guidelines for Gastric Cancer, developed by a multidisciplinary taskforce from 17 medical institutions, including experts in oncology, gastroenterology, surgery, and pathology. Using a modified Delphi process and evidence-based literature review, 23 key clinical questions were identified and addressed. Recommendations encompass screening strategies, indications for endoscopic resection, perioperative treatment for locally advanced disease, biomarker-guided therapy, and palliative care. This consensus integrates both global evidence and local practice patterns, aiming to support individualized and practical decision-making for GC management in Taiwan.</p>","PeriodicalId":17305,"journal":{"name":"Journal of the Formosan Medical Association","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Formosan Medical Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jfma.2026.09.041","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Gastric cancer (GC) remains a significant health burden in Taiwan, where current international guidelines may not fully align with local clinical realities. This expert consensus presents the 2025 Taiwan Consensus and Management Guidelines for Gastric Cancer, developed by a multidisciplinary taskforce from 17 medical institutions, including experts in oncology, gastroenterology, surgery, and pathology. Using a modified Delphi process and evidence-based literature review, 23 key clinical questions were identified and addressed. Recommendations encompass screening strategies, indications for endoscopic resection, perioperative treatment for locally advanced disease, biomarker-guided therapy, and palliative care. This consensus integrates both global evidence and local practice patterns, aiming to support individualized and practical decision-making for GC management in Taiwan.
期刊介绍:
Journal of the Formosan Medical Association (JFMA), published continuously since 1902, is an open access international general medical journal of the Formosan Medical Association based in Taipei, Taiwan. It is indexed in Current Contents/ Clinical Medicine, Medline, ciSearch, CAB Abstracts, Embase, SIIC Data Bases, Research Alert, BIOSIS, Biological Abstracts, Scopus and ScienceDirect.
As a general medical journal, research related to clinical practice and research in all fields of medicine and related disciplines are considered for publication. Article types considered include perspectives, reviews, original papers, case reports, brief communications, correspondence and letters to the editor.