Primary Care

Gastrointestinal Cancers

Questions discussed in this category

How often would you perform an upper endoscopy on an individual with chronic gastritis and previously eradicated H pylori with respect to risk of gastric malignancy?

1 Answer available

How do you counsel patients and partners of patients with HPV+ cancers regarding the HPV vaccine?

This would apply to gynecologic and GI cancers as well. And as long as the patient's partner is within the recommend age of <45 yo

1 Answer available

What are magic mouthwash alternatives that you would recommend?

There was a recall on viscous lidocaine and many of our patients cannot find it. What would you recommend as alternatives?

9 Answers available

Do you routinely prescribe vaginal estrogen therapy post chemo/XRT for female patients finishing anal cancer treatment?

If so, for how long?

1 Answer available

Would you recommend aspirin 600 mg daily for two years to a patient with Lynch syndrome and a history of colon cancer based on the results of the CAPP2 study for cancer prevention?

Would you offer low dose or standard dose aspirin instead?

1 Answer available

Are there scenarios that new visits/consults with patients can be done virtually amidst the COVID-19 outbreak?

6 Answers available

How would you manage a patient with profound dyspareunia after pelvic radiation for anal cancer?

9 Answers available

Should patients who received pelvic radiation get colonoscopy screenings more often than what is recommended for the general population?

In view of higher risks of rectal cancer after pelvic radiation, is more frequent screening warranted?

1 Answer available

What is the likelihood of a successful pregnancy following pelvic irradiation?

How should we counsel young women who are receiving treatment for GI/GYN malignancies?

1 Answer available

Papers discussed in this category

Lancet,

Cancer prevention with aspirin in hereditary colorectal cancer (Lynch syndrome), 10-year follow-up and registry-based 20-year data in the CAPP2 study: a double-blind, randomised, placebo-controlled trial.

JAMA, 2019 Apr 16

Effect of Doxepin Mouthwash or Diphenhydramine-Lidocaine-Antacid Mouthwash vs Placebo on Radiotherapy-Related Oral Mucositis Pain: The Alliance A221304 Randomized Clinical Trial.

Head Neck, 2016 Mar 29

Effectiveness of honey on radiation-induced oral mucositis, time to mucositis, weight loss, and treatment interruptions among patients with head and neck malignancies: A meta-analysis and systematic review of literature.

The Lancet. Oncology, 2017-05

Prevention of everolimus-related stomatitis in women with hormone receptor-positive, HER2-negative metastatic breast cancer using dexamethasone mouthwash (SWISH): a single-arm, phase 2 trial.

Gastroenterology, 2019 Dec 06

AGA Clinical Practice Guidelines on Management of Gastric Intestinal Metaplasia.

Related Topics in Primary Care