GI Oncology Learning Resources

Contents:

1. GI Anatomy & Physiology 2. General GI 3. Risk Factors and Screening 4. Signs & Symptoms 5. Diagnostic 6. Genetics 7. Treatments 8. Nutrition 9. Special Issues 10. Cancers 11. Resources 12. Recommended Learning Activities

GI Anatomy & Physiology

Digestive System  Digestive Health Disease Glossary ACG http://patients.gi.org/topics/understanding-your-gi- tract/  The Digestive System WebMD http://www.webmd.com/digestive-disorders/digestive-system  The Gastrointestinal System https://www.wisc-online.com/learn/career-clusters/health- science/nur2403/gastrointestinal-system-anatomy  Intro to the Digestive Tract https://training.seer.cancer.gov/anatomy/digestive/  Virtual Medicine Center: GI tract http://www.myvmc.com/anatomy/gastrointestinal- system/#C1  Your Digestive System (Kids Health) http://kidshealth.org/en/kids/digestive-system.html  Your digestive system and how it works http://www.niddk.nih.gov/health- information/health-topics/Anatomy/your-digestive-system/Pages/anatomy.aspx

Digestive Organs:  Colorectal Intestines http://www.webmd.com/digestive-disorders/picture-of-the-intestines  Esophagus http://www.webmd.com/digestive-disorders/picture-of-the-esophagus  Gallbladder http://www.webmd.com/digestive-disorders/picture-of-the-gallbladder  Liver http://www.webmd.com/digestive-disorders/picture-of-the-liver  Pancreas http://www.webmd.com/digestive-disorders/picture-of-the-pancreas  Pancreas www.pancreasfoundation.org/patient-information/about-the-pancreas/  Stomach http://www.webmd.com/digestive-disorders/picture-of-the-stomach

GI Oncology Learning Resources

General GI

GI Medications  Common GI meds http://www.gastroconsultants.com/for-patients/common-medications  Drugs for GI Disorders http://www.drugs.com/condition/gastrointestinal-disorder.html  GI Drug List http://www.medilexicon.com/drugs-list/gastrointestinal.php  Medicines and the Digestive System http://www.hopkinsmedicine.org/healthlibrary/conditions/adult/digestive_disorders/medicati ons_and_the_digestive_system_85,P00389/

Glossary  ACG: http://patients.gi.org/topics/understanding-your-gi-tract/  E-medicine Health http://www.emedicinehealth.com/anatomy_of_the_digestive_system/glossary_em.htm  WebMD http://www.webmd.com/digestive-disorders/digestive-diseases-glossary-terms#1

Risk Factors and Screening

Digestive Health Conditions  ACG http://patients.gi.org/gi-health-and-disease/  AGA http://www.gastro.org/patient-care/conditions  Medline Plus https://medlineplus.gov/ency/article/007447.htm  WebMD http://www.webmd.com/digestive-disorders/default.htm

Specific Risk Factors and Screening  Acid Reflux in Adults https://www.niddk.nih.gov/health-information/digestive-diseases/acid- reflux-ger-gerd-adults  Barrett’s Esophagus - NIDDK https://www.niddk.nih.gov/health-information/digestive- diseases/barretts-esophagus  Barrett’s Esophagus - ACG http://patients.gi.org/topics/barretts-esophagus/  Barrett’s Esophagus - AGA http://www.gastro.org/patient-care/conditions-diseases/barretts- esophagus  Colon Polyps Medscape http://emedicine.medscape.com/article/172674-overview  Colon Polyps - NIDDK http://www.niddk.nih.gov/health-information/health- topics/digestive-diseases/colon-polyps/Pages/overview.aspx  Colorectal- ACG cancer screening http://patients.gi.org/topics/colorectal-cancer-screening/  Colorectal Screening and information – Nursing Network https://dfwnavigators.nursingnetwork.com/nursing-news/67441-march-cancer-awareness-  Crohn’s Disease and Ulcerative Colitis http://www.crohnscolitisfoundation.org/

GI Oncology Learning Resources

 GERD https://www.iffgd.org/upper-gi-disorders/gerd.html  Hepatitis A-E https://www.niddk.nih.gov/health-information/liver-disease/viral-hepatitis  Love your Colon http://www.loveyourcolon.org/  NASH https://www.niddk.nih.gov/health-information/liver-disease/nafld-nash  Obesity and GI Health - ACG http://s3.gi.org/patients/obesity/pdfs/ACG_Obesity_Patient_Education_Pamphlet.pdf  Smoking and the Digestive System https://www.niddk.nih.gov/health-information/digestive- diseases/smoking-digestive-system

Signs & Symptoms

 Ascites http://patients.gi.org/topics/ascites/  Bleeding in the GI Tract NDDIC http://www.niddk.nih.gov/health-information/health- topics/digestive-diseases/bleeding-in-the-digestive-tract/Pages/facts.aspx  Bowel Management http://www.mdanderson.org/patient-and-cancer-information/cancer- information/cancer-topics/dealing-with-cancer-treatment/bowel-management/index.html  Bristol Stool Scale https://www.niddk.nih.gov/health-information/health-communication- programs/bowel-control-awareness- campaign/Documents/Bristol_Stool_Form_Scale_508.pdf  Common GI Symptoms http://patients.gi.org/topics/common-gi-symptoms/  Constipation https://www.niddk.nih.gov/health-information/digestive-diseases/constipation  Diarrhea https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea

Diagnostic Tests

Digestive Health Testing • Abdominal Tests -WebMD http://www.webmd.com/digestive-disorders/picture-of-the- abdomen#2 • Diagnostic Tests -NDDK http://digestive.niddk.nih.gov/ddiseases/topics/diagnostic.aspx • GI Health Tests - ACG http://patients.gi.org/gi-health-and-disease/#tabs6 • Procedures-ACGE https://www.asge.org/home/for-patients/procedures • Virtual CT Colonoscopy http://www.gastro.org/patient-care/procedures/ct-colonography

Endoscopic Procedures • Capsule Endoscopy http://www.gastro.org/patient-care/procedures/capsule-endoscopy • Colonoscopy -ACG http://patients.gi.org/topics/colonoscopy/ • Colonoscopy – American College of Surgeons www.facs.org/public_info/operation/brochures/colonoscopy.pdf • Colonoscopy AGA http://www.gastro.org/patient-care/procedures/colonoscopy • Colonoscopy MedLine https://medlineplus.gov/colonoscopy.html • EGD http://www.gastro.org/patient-care/procedures/upper-endoscopy-egd • ERCP -ACG http://patients.gi.org/topics/ercp-a-patients-guide/ • ERCP - AGA http://www.gastro.org/patient-care/procedures/ercp

GI Oncology Learning Resources

• EUS - ACG http://www.gastro.org/patient-care/procedures/eus • EUS - AGA http://www.gastro.org/patient-care/procedures/eus • EUS - WebMD http://www.webmd.com/digestive-disorders/endoscopic-ultrasound • EUS, video, - Medline http://www.orlive.com/wfubmc/videos/diagnosing-and-treating- digestive-tract-disorders?view=displayPageNLM • Upper Endoscopy (EGD) Upper Endoscopy https://medlineplus.gov/ency/article/003888.htm

Imaging  Radiographic tests - ACG http://patients.gi.org/topics/gi-radiographic-tests/  Radiology Assistant http://www.radiologyassistant.nl/en/p420cd11061ecd/click-for-more- information.html  Radiology Info Radiology Info https://www.radiologyinfo.org/

Labs

Liver Tests • American Liver Foundation- http://www.liverfoundation.org/abouttheliver/info/liverfunctiontests/ • Lab tests Online Liver Labs http://labtestsonline.org/understanding/conditions/liver- disease/start/3 • WebMD http://www.webmd.com/digestive-disorders/picture-of-the-liver#2

Other Diagnostic Tests  Liver Biopsy - ALF http://www.liverfoundation.org/abouttheliver/info/liverbiopsy/  Liver Biopsy - NDDK https://www.niddk.nih.gov/health-information/diagnostic-tests/liverbiopsy

Genetics

Genetics • Genetic and Rare Disease Genetic and Rare Diseases https://rarediseases.info.nih.gov

Inherited Syndromes • Colon polyps and polyposis syndromes http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3920990/ • FAP http://www.cancer.net/cancer-types/familial-adenomatous-polyposis • Gardner syndrome http://www.cancer.net/cancer-types/gardner-syndrome • Genetics of Colorectal Cancer for HCP http://www.cancer.gov/cancertopics/pdq/genetics/colorectal/HealthProfessional/page1#Section _60 • Hereditary Mixed Polyposis Syndrome http://www.cancer.net/cancer-types/hereditary-mixed- polyposis-syndrome

GI Oncology Learning Resources

• HNPCC http://www.genetichealth.com/crc_hnpcc_a_hereditary_syndrome.shtml • Lynch Syndrome http://patients.gi.org/topics/lynch-syndrome/ • Lynch syndrome http://www.cancer.net/cancer-types/lynch-syndrome • Peutz-Jeghers syndrome http://www.cancer.net/cancer-types/peutz-jeghers-syndrome • Understand your hereditary Colon Syndrome http://www.hcctakesguts.org/#!understand-your- syndrome/c22eu

Treatment

 Cancer Therapy http://www.cancertherapyadvisor.com/gastrointestinal-cancers/section/2402/  Clinical Trials.gov https://www.clinicaltrials.gov

Chemotherapy  ChemoCare http://www.chemocare.com  Chemo Regimens http://www.oncologynurseadvisor.com/chemotherapy- regimens/section/2171/  Medscape http://reference.medscape.com/drugs/oncology  Oncology Pharmaceuticals FDA Approved Drugs www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm279174.htm

Radiation  •RadCare http://radcare.org/

Side Effects and Complications from Treatment:  Abdominal Adhesions https://www.niddk.nih.gov/health-information/digestive- diseases/abdominal-adhesions  Achlorhydria http://emedicine.medscape.com/article/170066-overview  Chemo Side Effect Series (NCI) https://www.cancer.gov/publications/patient- education/chemo-side-effects  Gastrointestinal Complications in Cancer https://www.cancer.gov/about- cancer/treatment/side-effects/constipation/GI-complications-hp-pdq  Dealing with Side Effects of Cancer Treatment (ACS) http://www.cancer.org/healthy/informationforhealthcareprofessionals/easy-reading-for- patients-dealing-with-side-effects-of-cancer-treatment  Dumping syndrome NDDIC http://www.niddk.nih.gov/health-information/health- topics/digestive-diseases/dumping-syndrome/Pages/facts.aspx  Gastroparesis http://patients.gi.org/topics/gastroparesis/  Gastroparesis https://www.niddk.nih.gov/health-information/digestive-diseases/gastroparesis  Intestinal Radiation Injury http://emedicine.medscape.com/article/180084-overview  Radiation Side Effect Series (NCI) https://www.cancer.gov/publications/patient- education/radiation-side-effects

GI Oncology Learning Resources

 Small Bowel Obstruction http://emedicine.medscape.com/article/774140-overview  Understanding and Managing Chemotherapy Side Effects (CancerCare) http://www.cancercare.org/publications/24- understanding_and_managing_chemotherapy_side_effects  Understanding the Side Effects of Cancer Treatment (Patient Resource) http://www.patientresource.com/Treatment_Side_Effects.aspx

Surgery and Procedures

 Encyclopedia of Surgery http://www.surgeryencyclopedia.com/  Live surgeries https://www.nlm.nih.gov/medlineplus/surgeryvideos.html  OnQ http://www.myon-q.com/on-q-pump.aspx

Large and Small Intestine  Bowel diversion surgeries http://www.niddk.nih.gov/health-information/health- topics/digestive-diseases/ostomy-surgery-bowel/Pages/ez.aspx  Colectomy https://www.oncolink.org/cancers/gastrointestinal/colon- cancer/treatments/colectomy  Colon Surgeries https://www.oncolink.org/cancers/gastrointestinal/colon- cancer/treatments/surgery-for-colon-cancer  Colorectal Resection https://my.pearlpoint.org/resources/understanding-colorectal-cancer- colorectal-resection  Colostomy https://www.oncolink.org/cancers/gastrointestinal/anal-cancer/colostomy  Colostomy http://www.ostomy.org/Ostomy_Information.html#colostomy  Hollister Professional Learning https://www.hollister.com/us/ostomy/hcp/nursing/online_ce.asp  Ileostomy https://www.oncolink.org/cancers/gastrointestinal/rectal-cancer/ileostomy  Ileostomy http://www.ostomy.org/Ostomy_Information.html#ileostomy  Ostomies http://www.cancer.org/treatment/treatmentsandsideeffects/physicalsideeffects/ostomies/index  Pelvic Extenteration https://www.oncolink.org/cancers/gynecologic/cervical- cancer/treatments/surgical-procedures-pelvic-exenteration  Rectal Surgeries https://www.oncolink.org/cancers/gastrointestinal/rectal-cancer/surgery-for- rectal-cancer  Small Bowel Resection https://www.oncolink.org/cancers/gastrointestinal/small-intestine- cancers/small-bowel-resection

Pancreatic and Biliary  Cholecystectomy https://www.oncolink.org/cancers/gastrointestinal/gallbladdercancer/surgical-procedures-cholecystectomy  Distal Pancreatectomy https://www.pancan.org/section-facing-pancreatic-cancer/learn-about- pan-cancer/treatment/surgery/distal-pancreatectomy/

GI Oncology Learning Resources

 Pancreatic Surgeries https://my.pearlpoint.org/cancer-education/understanding-pancreatic- cancer-surgery  Radio Frequency Ablation http://emedicine.medscape.com/article/1390475-overview  Surgical Procedures for Pancreatic Cancer https://www.oncolink.org/cancers/gastrointestinal/pancreatic-cancer/treatments-for- pancreatic-cancer/surgical-procedures-surgery-for-pancreatic-cancer  Whipple https://www.pancan.org/section-facing-pancreatic-cancer/learn-about-pan- cancer/treatment/surgery/whipple-procedure-pancreaticoduodenectomy/  Whipple Procedure https://www.oncolink.org/cancers/gastrointestinal/pancreatic- cancer/treatments-for-pancreatic-cancer/surgical-procedures-whipple-procedure- pancreaticoduodenectomy  Y-90 Radiology Info https://www.radiologyinfo.org/en/info.cfm?pg=radioembol  Y-90 SirTex http://www.sirtex.com/us/

Upper GI Tract  Esophagectomy https://www.oncolink.org/cancers/gastrointestinal/esophageal- cancer/esophagectomy  Gastrectomy http://www.nostomachforcancer.org/gastric-cancer/life-without-a- stomach/youre-having-what-about-total-gastrectomy  Gastrectomy https://www.oncolink.org/cancers/gastrointestinal/gastric-cancer/treatment- options-for-gastric-cancer/gastrectomy  PEG tube - ACG http://patients.gi.org/topics/percutaneous-endoscopic-gastrostomy-peg/  PEG -ASGE http://www.asge.org/patients/patients.aspx?id=394  Percutaneous Endoscopic Gastrostomy (PEG) Placement http://emedicine.medscape.com/article/149665-overview

Nutrition

Cancer  American Institute Cancer Research (AICR) http://www.aicr.org/  Eating Hints Before, During and After Cancer Treatment http://www.cancer.gov/publications/patient-education/eatinghints.pdf  Nutrition.gov https://www.nutrition.gov/nutrition-and-health-issues/cancer  Nutrition for People with Cancer https://www.cancer.org/treatment/survivorship-during-and- after-treatment/staying-active/nutrition.html  Oncolink https://www.oncolink.org/support/nutrition-and-cancer  Oncology 360 http://www.consultant360.com/topic/oncology  Oncology Nutrition http://www.oncologynutrition.org/  PearlPoint https://my.pearlpoint.org/nutrition-and-cancer

Enteral and Parenteral Feedings  Enteral and Parenteral Nutrition http://patients.gi.org/topics/enteral-and-parenteral-nutrition/  Parenteral and Enteral Nutrition www.oley.org

GI Oncology Learning Resources

 Tube Feeding Troubleshooting Guide and Resources http://oley.org/?page=HEN_LandingPage

Specific Diets  Esophagectomy Nutrition Guidelines https://my.pearlpoint.org/nutrition-and- cancer/esophagectomy-nutrition  Gastrectomy Nutrition Guidelines https://my.pearlpoint.org/nutrition-and- cancer/gastrectomy-nutrition-g  Ileostomy Nutrition www.ostomy.org/Ostomy_Information.html#diet_nutrition  Low fiber http://www.cancer.org/treatment/survivorshipduringandaftertreatment/nutritionforpeoplewith cancer/low-fiber-foods  Nutrition after Gastrectomy https://www.nostomachforcancer.org/about/life-without-a- stomach/nutrition-after-gastrectomy  Nutrition Guidelines for Pancreatic Cancer https://my.pearlpoint.org/nutrition-and- cancer/nutrition-guidelines-for-pancreatic-cancer  Nutrition Guidelines Following a Whipple Procedure https://my.pearlpoint.org/nutrition-and- cancer/nutrition-guidelines-following-a-whipple-procedure  Pancreatic Cancer Action Network: Diet and Nutrition https://www.pancan.org/facing- pancreatic-cancer/diet-and-nutrition/  Post-Esophagectomy Diet https://www.oncolink.org/support/nutrition-and-cancer/during- and-after-treatment/post-esophagectomy-diet

Cancers

General Cancer Info:

Cancer (all sites)  American Cancer Society https://www.cancer.org/cancer.html  American Cancer Society Fact Sheets https://www.cancer.org/health-care- professionals/resources-for-professionals/fact-sheets-for-professionals.html  Cancer.net http://www.cancer.net/cancer-types  CancerCare http://www.cancercare.org/diagnosis  Emedicine Medscape GI Oncology http://emedicine.medscape.com/oncology#  http://reference.medscape.com/guide/cancer-guides/#cancer_guides_gastro  MedLine Plus: Cancer https://medlineplus.gov/cancer.html  National Cancer Institute https://www.cancer.gov/types  NCI Education & Training https://www.cancer.gov/resources-for/hp/education  SEER Training Modules https://www.cancer.gov/resources-for/hp/education/epeco  NCCN https://www.nccn.org/  WebMD http://www.webmd.com/cancer/default.htm

GI Oncology Learning Resources

GI Cancers - general  ACG: http://patients.gi.org/topics/gastrointestinal-cancers/  ACGE Patient Education https://www.asge.org/home/for-patients/conditions  NCI: Pancreatic and Biliary Cancer Module https://training.seer.cancer.gov/biliary/  NCI: Upper GI Tract Module https://training.seer.cancer.gov/ugi/  OncoLink GI Cancers https://www.oncolink.org/cancers/gastrointestinal  Oncology Learning Resources https://dfwnavigators.nursingnetwork.com/page/46081- clinical-resources

GI Cancer Anal Cancer:  ACS https://www.cancer.org/cancer/anal-cancer.html  ASCRS https://www.fascrs.org/patients/disease-condition/anal-cancer  Cancer.net http://www.cancer.net/cancer-types/anal-cancer  Medscape http://emedicine.medscape.com/article/2500052-overview  NCI http://www.cancer.gov/types/anal

Appendix  Appendix Cancer Connection http://www.appendix-cancer.com/  Cancer.net http://www.cancer.net/cancer-types/appendix-cancer  Pseudomyxoma Survivor http://www.pseudomyxomasurvivor.org/pmp-information/

Bile Duct (Cholangiocarcinoma)  ACS https://www.cancer.org/cancer/bile-duct-cancer.html  Cancer.net http://www.cancer.net/cancer-types/bile-duct-cancer  Cholangiocarcinoma Foundation http://cholangiocarcinoma.org/  Medscape http://emedicine.medscape.com/article/277393-overview  NCI: https://www.cancer.gov/types/liver/patient/bile-duct-treatment-pdq

Carcinoid/ Neuroendocrine Tumors  American Cancer Society https://www.cancer.org/cancer/gastrointestinal-carcinoid- tumor.html  Cancer.net http://www.cancer.net/cancer-types/carcinoid-tumor  Cancer.net http://www.cancer.net/cancer-types/neuroendocrine-tumor  Carcinoid.com https://www.carcinoid.com/  Carcinoid Cancer Foundation http://www.carcinoid.org/  Caring for Carcinoid Foundation www.caringforcarcinoid.org  Intestinal Carcinoid http://emedicine.medscape.com/article/276837-overview  Malignant Carcinoid http://emedicine.medscape.com/article/282515-overview  Medscape http://emedicine.medscape.com/article/986050-overview  NCI http://www.cancer.gov/types/gi-carcinoid-tumors

GI Oncology Learning Resources

 National Organization for Rare Diseases https://rarediseases.org/rare-diseases/carcinoid- syndrome/  Neuroendocrine Tumors (NET) http://netumor.net/  Neuroendocrine Tumor Research Foundation https://netrf.org/  Novartis https://www.novartisoncology.com/patients-and-caregivers/disease- areas/neuroendocrine-tumors

Colorectal Cancer  Advanced Colorectal Cancer http://www.patientresource.com/Advanced_Colorectal_Overview.aspx  AGA http://www.gastro.org/patient-care/conditions-diseases/colorectal-cancer  ACG http://patients.gi.org/topics/colorectal-cancer/  ACS www.cancer.org/cancer/colonandrectumcancer/index  AICR http://www.aicr.org/learn-more-about-cancer/colorectal-cancer/  AJCC Colon Cancer Staging http://cancerstaging.org/references- tools/quickreferences/documents/colonmedium.pdf  ASCRS https://www.fascrs.org/patients/disease-condition/colon-cancer-expanded-version  Cancer.net www.cancer.net/cancer-types/colorectal-cancer  CDC http://www.cdc.gov/cancer/colorectal/  Colon Cancer Alliance http://www.ccalliance.org/get-information/  Colon Cancer Coalition http://coloncancercoalition.org/  Colon Cancer Foundation https://coloncancerfoundation.org/  Colon Cancer Genetics http://www.fascrs.org/patients/treatments_and_screenings/genetics_and_colorectal_cancer/  Emedicine Health http://www.emedicinehealth.com/colon_cancer/article_em.htm  Hereditary Colon Cancer http://emedicine.medscape.com/article/188613-overview  MedLine Plus www.nlm.nih.gov/medlineplus/tutorials/coloncancer/htm/index.htm  Medscape http://emedicine.medscape.com/article/277496-overview  NCCN Patient hwww.nccn.org/patients/guidelines/colon/index.html  NCI Colorectal Module https://training.seer.cancer.gov/colorectal/  Patient Resources http://www.patientresource.com/Colorectal.aspx  Rectal Cancer http://emedicine.medscape.com/article/281237-overview

Esophageal  ACG http://patients.gi.org/topics/esophageal-cancer/  AICR http://www.aicr.org/learn-more-about-cancer/esophageal-cancer/  American Cancer Society https://www.cancer.org/cancer/esophagus-cancer.html  Barrett's Esophagus - see risk and screening  Cancer.net http://www.cancer.net/cancer-types/esophageal-cancer  Esophageal Cancer Action Network http://www.ecan.or  Esophageal Cancer Awareness Association http://www.ecaware.org/  Medscape http://emedicine.medscape.com/article/277930-overview  NCCN patient book www.nccn.org/patients/guidelines/esophageal/index.html  NCI: http://www.cancer.gov/types/esophageal

GI Oncology Learning Resources

Gallbladder  ACS http://www.cancer.org/cancer/gallbladdercancer/index  Cancer.net www.cancer.net/cancer-types/gallbladder-cancer  Medscape http://emedicine.medscape.com/article/278641-overview  NCI: http://www.cancer.gov/types/gallbladder

Gastric  ACG: http://patients.gi.org/topics/stomach-cancer-gastric-cancer/  ACS http://www.cancer.org/cancer/stomachcancer/index  Cancer.net www.cancer.net/cancer-types/stomach-cancer  Gastric Cancer Foundation http://www.gastriccancer.org/  Hereditary Diffuse Gastric http://www.cancer.net/cancer-types/hereditary-diffuse-gastric- cancer  Lily Life with Stomach Cancer http://www.lillyoncology.com/life-with-cancer/life-with- stomach-cancer.html  Medscape http://emedicine.medscape.com/article/278744-overview  NCCN Patient E-book https://www.nccn.org/patients/guidelines/cancers.aspx#stomach  NCI: http://www.cancer.gov/types/stomach  No Stomach for Cancer http://www.nostomachforcancer.org/

GIST  ACS www.cancer.org/cancer/gastrointestinalstromaltumorgist/  Cancer.net http://www.cancer.net/cancer-types/gastrointestinal-stromal-tumor-gist  GIST support international http://www.gistsupport.org/about-gist.php  Gleevec http://www.gleevec.com/index.jsp  Intestinal Stromal Tumors http://emedicine.medscape.com/article/284127-overview  Life Raft Group https://liferaftgroup.org/  Medscape http://emedicine.medscape.com/article/179669-overview  NCCN Patient Book http://www.nccn.org/patients/guidelines/sarcoma/index.html#38  NCI http://www.cancer.gov/types/soft-tissue-sarcoma  Sarcoma Alliance http://www.sarcomaalliance.org

Liver  ACS http://www.cancer.org/cancer/livercancer/index  ALF Liver cancer http://www.liverfoundation.org/abouttheliver/info/livercancer/  Cancer.net http://www.cancer.net/cancer-types/liver-cancer  CDC http://www.cdc.gov/cancer/liver/index.htm  Hepatic Cystadenomas http://emedicine.medscape.com/article/173056-overview#a2  Medscape http://emedicine.medscape.com/article/282814-overview  NCI http://www.cancer.gov/types/liver  Patient Resources http://www.patientresource.com/Liver_Cancer.aspx

GI Oncology Learning Resources

Neuroendocrine Tumors (NET) - see Carcinoid

Pancreatic  ACS http://www.cancer.org/cancer/pancreaticcancer/index  AJCC Pancreatic Cancer Staging https://cancerstaging.org/references- tools/quickreferences/Documents/PancreasSmall.pdf  Cancer.net www.cancer.net/cancer-types/pancreatic-cancer  Lustgarten Foundation http://www.lustgarten.org/get-informed/quick-facts-a-pancreatic- cancer-infographic  Medscape http://emedicine.medscape.com/article/280605-overview  National Pancreas Foundation https://www.pancreasfoundation.org/patient- information/pancreatic-cancer/  NCCN Patient Book https://www.nccn.org/patients/guidelines/cancers.aspx#pancreatic  NCI http://www.cancer.gov/types/pancreatic  Pancreatica http://pancreatica.org/  Pancreatic Cancer Action Network https://www.pancan.org/section-facing-pancreatic- cancer/learn-about-pan-cancer/  Pancreatic Neuroendocrine Tumor https://www.pfizer.com/files/news/esmo/pancreatic_neuroendocrine_tumor_fact_sheet.pdf  Patient Resources www.patientresource.com/Pancreatic_Cancer_Overview.aspx  Pearlpoint Pancreatic Cancer Handbook  https://my.pearlpoint.org/cancer-education/pancreatic-cancer-survivors-handbook  Whipple Warriors http://www.whipplewarriors.org/

Small Intestine • ACS http://www.cancer.org/cancer/smallintestinecancer/index • Cancer.net http://www.cancer.net/cancer-types/small-bowel-cancer • Intestinal Leiomyosarcomas http://emedicine.medscape.com/article/179839-overview • Malignant Neoplasms of the Small Intestine http://emedicine.medscape.com/article/282684- overview • NCI: http://www.cancer.gov/types/small-intestine

Other Cancers:  Ampullary Carcinoma http://emedicine.medscape.com/article/276413-overview http://emedicine.medscape.com/article/282920-overview  Peritoneal Cancer http://emedicine.medscape.com/article/281107-overview

Special Issues

 Palliative Care and End of Life https://www.cancer.gov/resources-for/hp/education/epeco

GI Oncology Learning Resources

Resources:

General  Up to Date https://www.uptodate.com/contents/search

Gastroenterology  American College of Gastroenterology (ACG) https://gi.org/ http://patients.gi.org/gi-health- and-disease/  American Gastroenterological Association (AGA) http://www.gastro.org/  American Liver Foundation http://www.liverfoundation.org/  American Society for Gastrointestinal Endoscopy (ASGE) https://www.asge.org/  American Society of Colon and Rectal Surgeons https://www.fascrs.org/patients/  Medscape http://www.medscape.com/gastroenterology  National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) https://www.niddk.nih.gov/health-information/digestive-diseases

Oncology  American Cancer Society www.cancer.org  Cancer.net www.cancer.net  Medscape Oncology http://www.medscape.com/oncology  My PearlPoint https://my.pearlpoint.org/  National Cancer Institute www.cancer.gov  National Comprehensive Cancer Network https://www.nccn.org  OncoLink https://www.oncolink.org/  Patient Resources http://www.patientresource.com/home.aspx  Up to Date http://www.uptodate.com/contents/table

Other Related Resources:  Oley Foundation http://oley.org/  Ostomy Resources https://ntxwon.nursingnetwork.com/  United Ostomy Association http://www.ostomy.org/

Recommended Learning Activities:

1. Complete the NCI Modules for Colorectal Cancer, UGI Cancers and Pancreatic and Bilary Cancers https://training.seer.cancer.gov/modules_site_spec.html 2. Use the online resource links to help you learn more about specific cancer types and their treatments. Use the questions listed in the box as a guide.

GI Oncology Learning Resources

3. Websites and educational books and information created for patients are sometimes easier and quicker to learn from than those created for healthcare professionals. Use the resources that work best for you. 4. Most brand name products like nutrition supplements and medications have their own websites which can be great learning resources. 5. Use what your hospital/facility already has to help you learn: patient education programs (Krames, LexiComp, etc.), hospital website health libraries, learning management systems like Healthstream and medical/health databases. 6. Find a new resource? Share it with your coworkers. 7. Don’t understand something? Look it up. Keep a glossary of words related to your patient population. 8. Don’t forget, people are great resources too. Know who the experts are and ask questions if you don’t understand or know something. You may want to set up time to shadow the expert professionals, watch procedures and surgeries and attend support groups. . 9. Learning is knowledge acquired through experience, study or being taught (Google). Learning is an ongoing process and every healthcare professional’s responsibility. 10. Learning is an ongoing process and every healthcare professional’s responsibility but you need the tools to help you –hopefully theses resources will be helpful.

Questions to help you learn:

□ Describe the anatomy and physiology of the site(s) involved with this type of cancer. □ What are the different histological types of cancer at this site? □ What are the causes/risk factors? □ Describe any screening tests that are available. □ What are the most common signs and symptoms of this cancer? □ How is this cancer diagnosed? □ How is this cancer staged? What is TNM?

□ Name the treatments for this cancer by stage. □ Describe the different medication and radiation treatments and their side effects. □ Describe the surgical management for this cancer. □ Describe the common side effects and complications associated with surgical management. □ What are the long-term complications of this cancer and its treatment(s)? □ What’s new in research and treatment for this cancer? □ What are the best resources for this cancer?

This resource document was created by Gwen Spector RN, GI Cancer Nurse Navigator at Medical City Plano on March 21, 2017