The thesis presents an analysis of population-based trends in incidence, treatment and overall survival in patients diagnosed with tumors along the upper gastrointestinal tract, with a special focus on metastasized disease. The four anatomical subsites discussed in detail are the esophagus, stomach, pancreas and small intestine.

In this thesis we also investigated if there was a interhospital variation in the prescription of palliative chemotherapy, among patients with metastatic gastric and pancreatic cancer diagnosed in ten community hospitals in the South of the Netherlands.

Furthermore, we investigated the influence of incidence and treatment volume on the outcome of patients with metastatic pancreatic cancer.

Additional Metadata
Keywords Population-based, metastatic, gastrointestinal, pancreatic cancer, gastric cancer, esophageal cancer, small bowel adenocarcinoma
Promotor V.E.P.P. Lemmens (Valery) , G.J.M. Creemers (Geert-Jan)
Publisher Erasmus University Rotterdam
ISBN 978-94-92303-12-7
Persistent URL
Bernards, N. (2017, April 13). Treatment and survival of patients with metastatic upper gastrointestinal cancer : hard to digest?. Erasmus University Rotterdam. Retrieved from