Cancer of the upper gastrointestinal tract Palliative chemotherapy unproved in advanced gastric cancer

doi:10.1136/bmj.308.6942.1508b

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I Kunkler

Western General Hospital, Edinburgh EH4 2XU.

EDITOR, - Paul Ellis and David Cunningham advocate “a careful re- evaluation of the role of chemotherapy in the palliation of symptoms and prolongation of life expectancy” in advanced oesophageal, gastric, and pancreatic cancer.1 For good palliation clinicians need to be convinced by randomised studies that the quality, if not the …