Synopsis
Gastric Cancer (GC) is 3rd leading cause of cancer related death worldwide; only 28.3% of are expected to survive >5 years. Although GC incidence has declined in the US during the last decade, an increase in the incidence of GC has been estimated for 2016. GC risk factors include, male gender, having >60 years, infectious agents such as H. pylori, GC family history, certain occupations, tobacco use, and diet, among others. Prognosis of GC is largely dependent on the tumor stage at diagnosis and classification as intestinal or diffuse type, which has worse prognosis. Although promising chemoprevention agents have been reported to decrease GC risk, none have been implemented into clinical practice to date. Risk assessment and surveillance guidelines have been implemented in Asian countries with high incidence of GC, whereas in the US, only the American Society for Gastrointestinal Endoscopy has recently published guidelines for the screening and management gastric lesions. Importance of diagnosis of GC at an early stage is imperative since 5 year survival rates can approximate 90% in this setting.