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Trending Topics in Gastroenterology

Explore current gastroenterology questions, clinical answers, and emerging research by topic.

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Who Benefits From Adjuvant Chemotherapy After Neoadjuvant Therapy for Esophagogastric Cancer?: ESMO GI | August 2026

Introduction: Perioperative chemotherapy is standard for locally advanced esophagogastric adenocarcinoma, yet many patients struggle to receive postoperative treatment after major surgery. Whether all patients need the adjuvant component...

22

Oral Paclitaxel Improves Survival in Second-Line Advanced Gastric Cancer: ESMO Open | August 2026

Introduction: Paclitaxel remains an important second-line treatment for advanced gastric cancer, but intravenous administration requires infusion-centre visits and carries risks of neuropathy and hypersensitivity reactions. This phase III...

23

High-Dose Corticosteroids Before Digestive Cancer Surgery: JAMA Surgery | August 2026

Introduction: Major cancer surgery triggers a substantial inflammatory response that may contribute to postoperative complications and delayed recovery. A single preoperative corticosteroid dose has therefore been proposed to...

24

ASCO 2026 Living Guideline for Immunotherapy & Targeted Therapy for Advanced Gastroesophageal Cancer: J Clin Oncol.| August 2026

Introduction Management of advanced gastroesophageal cancer has moved rapidly from a largely chemotherapy-based approach toward biomarker-driven treatment selection. HER2, PD-L1, mismatch-repair status/MSI, and CLDN18.2 can now determine first-line...

25

Comprehensive Genomic Profiling in GI Cancers: JCO Precision Oncology | August 2026

Introduction: Comprehensive genomic profiling (CGP) is increasingly used in gastrointestinal cancers to identify actionable molecular alterations and guide precision therapy. However, its real-world value depends not only on...

26

Lynch Syndrome Surveillance Works—but One-Third of Cancers Occur Outside Current Protocols: ESMO Gastrointestinal Oncology | August 2026

Introduction: Lynch syndrome carries a lifelong risk of developing cancers across multiple organs. While colorectal surveillance is well established, the effectiveness of broader multiorgan surveillance remains less certain....

27

Durvalumab–Gemcitabine–Cisplatin (TOPAZ-1) Remains Effective in Real-World Biliary Tract Cancer: IJC | August 2026

Introduction: Durvalumab plus gemcitabine–cisplatin (CGD) is standard first-line therapy for advanced biliary tract cancer (BTC) based on TOPAZ-1. However, clinical trials exclude many patients encountered in everyday practice....

28

Tumour-Negative Lymph Node Size Emerges in Oesophagogastric Cancer: ESMO Gastrointestinal Oncology | August 2026

Introduction: Lymph node metastasis is a major prognostic factor in oesophagogastric adenocarcinoma (OGAC), but tumour-negative lymph nodes (LNneg) have received little attention. This analysis of two major Phase...

29

iDREM-BTC: Dynamic Biomarker Monitoring Enables Real-Time Prognosis in Advanced Biliary Tract Cancer: Journal of Hepatology | 2026

Introduction: First-line immunochemotherapy is now standard for advanced biliary tract cancer (BTC), but treatment responses vary widely. Most prognostic models rely on baseline information, ignoring how patients evolve...

30

NETTER-2: ¹⁷⁷Lu-DOTATATE in Higher-Grade GEP-NETs: The Lancet Oncology | August 2026

Introduction: The Phase III NETTER-2 trial established ¹⁷⁷Lu-DOTATATE plus octreotide as an effective first-line therapy for advanced, well-differentiated, somatostatin receptor (SSTR)-positive higher-grade G2–G3 gastroenteropancreatic neuroendocrine tumors (GEP-NETs). This...

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