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Gastrointestinal

The information contained in these documents is a statement of consensus of BC Cancer Agency professionals regarding their views of currently accepted approaches to treatment. Any clinician seeking to apply or consult these documents is expected to use independent medical judgement in the context of individual clinical circumstances to determine any patient's care or treatment. Use of these documents is at your own risk and is subject to BC Cancer Agency's terms of use available at www.bccancer.bc.ca/legal.htm.

Please Note: All links in the table below open PDF documentsPDF.

Resectable Colorectal Cancer (adjuvant) Available Documents
(revision date indicated in red)
GIAJCAP: Adjuvant Therapy of Colon Cancer using Capecitabine - Protocol (01 Apr 2011)
- Preprinted order (01 May 2009)
- Patient Handout (01 Dec 2008)
UGIAJCAPOX: Adjuvant Combination Chemotherapy for Stage III and Stage IIB Colon Cancer Using Oxaliplatin and Capecitabine. Protocol (01 Oct 2011)
Preprinted order (01 Oct 2011)
Patient Handout (1 Nov 2011)
GIAJFFOX: Adjuvant Combination Chemotherapy for Stage III and Stage IIB Colon Cancer Using Oxaliplatin, 5-Fluorouracil and Folinic Acid (Leucovorin) - Protocol (01 Jan 2012)
- Preprinted order (01 Jan 2012)
- Patient Handout (01 Jan 2012)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIAJFL: Adjuvant Therapy of Colon Cancer using Fluorouracil Injection and Infusion and Folinic Acid (Leucovorin) Infusion - Protocol (29 Jun 2011)
- Preprinted order (29 Jun 2011)
Patient Handout (01 Nov 2009)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
UGIRAJCOX: Adjuvant Combination Chemotherapy for Stage III Rectal Cancer Using Oxaliplatin and Capecitabine. Protocol (06 Feb 2012)
Preprinted order (1 Nov 2011)
GIRAJFFOX: Adjuvant Combination Chemotherapy for Stage III Rectal Cancer Using Oxaliplatin, 5-Fluorouracil and Folinic Acid (Leucovorin) - Protocol (01 Jan 2012)
- Preprinted order (01 Jan 2012)
Patient Handout (01 Jan 2012)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIRCAP: Adjuvant Therapy for Stage II and III Rectal Cancer Previously Treated with Preoperative Radiation Therapy using Capecitabine - Protocol (01 Apr 2011)
- Preprinted order (01 May 2009)
Patient Handout (01 Dec 2008)
GIRCRT: Combined Modality Adjuvant Therapy for High Risk Rectal Carcinoma using Capecitabine and Radiation Therapy. - Protocol (01 Sep 2011)
- Preprinted order (01 Sep 2011)
Patient handout (01 Sep 2011)
GIRINFRT: Combined Modality Adjuvant Therapy for High Risk Rectal Carcinoma using Capecitabine, Infusional Fluorouracil and Radiation Therapy - Protocol (01 Apr 2011)
- Preprinted order (27 Jun 2011)
Patient handout (01 Jan 2011)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 

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Unresectable Colorectal Cancer (advanced) Available Documents
(revision date indicated in red)
GIAVCAP: Palliative Therapy of Advanced Colorectal Cancer using Capecitabine. - Protocol (01 Apr 2011)
- Preprinted order (01 Nov 2009)
Patient Handout (01 Dec 2008)
UGIAVCETIR: Third Line Treatment of Metastatic Colorectal Cancer Using Cetuximab in combination with Irinotecan. Protocol (01 Feb 2012)
Preprinted order (01 Feb 2012)
Patient Handout (01 Nov 2009)
GIAVFL: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using 5-Fluorouracil Injection and Infusion and Folinic Acid (Leucovorin) Infusion. - Protocol (27 Jun 2011)
- Preprinted order (27 Jun 2011)
Patient Handout (01 Nov 2009)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
UGIAVPANI: Palliative Third Line Treatment of Metastatic Colorectal Cancer Using Panitumumab Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
Patient Handout (01 Nov 2009)
UGICAPIRI: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using Irinotecan and Capecitabine in Patients Unsuitable for GIFOLFIRI. - Protocol (01 Dec 2011)
- Preprinted order (27 Jun 2011)
Patient Handout (01 Jan 2011)
UGICAPOX: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using Oxaliplatin, and Capecitabine. - Protocol (01 Dec 2011)
- Preprinted order (27 Jun 2011)
Patient Handout (01 Jan 2011)
UGICIRB: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using Irinotecan, Bevacizumab and Capecitabine. - Protocol (27 Jun 2011)
- Preprinted order (27 Jun 2011)
Patient Handout (01 Jan 2011)
UGICOXB: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using Oxaliplatin, Bevacizumab and Capecitabine. - Protocol (27 Jun 2011)
- Preprinted order (27 Jun 2011)
Patient Handout (01 Jan 2011)
UGIFFIRB: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using Irinotecan, Fluorouracil, Folinic Acid (Leucovorin) and Bevacizumab. - Protocol (27 Jun 2011)
- Preprinted order (27 Jun 2011)
Patient Handout (01 Sep 2009)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
UGIFFOXB: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using Oxaliplatin, 5-Fluorouracil, Folinic Acid (Leucovorin) and Bevacizumab. - Protocol (27 Jun 2011)
- Preprinted order (27 Jun 2011)
Patient Handout (01 Sep 2009)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIFOLFIRI: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using Irinotecan, Fluorouracil and Folinic Acid (Leucovorin). - Protocol (27 Jun 2011)
- Preprinted order (27 Jun 2011)
Patient Handout (01 Sep 2009)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIFOLFOX: Palliative Combination Chemotherapy for Metastatic Colorectal Cancer Using Oxaliplatin, 5-Fluorouracil and Folinic Acid (Leucovorin). - Protocol (01 Jan 2012)
- Preprinted order (01 Jan 2012)
Patient Handout (01 Jan 2012)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIFUFA: Palliative therapy for advanced colorectal cancer using Leucovorin and Fluorouracil. - Protocol (01 May 2011)
- Preprinted order (01 May 2009)
Patient Handout (01 Nov 2009)
GIFUINF: Palliative therapy for metastatic colorectal adenocarcinoma using Fluorouracil infusional chemotherapy. - Protocol (01 May 2011)
- Preprinted order (29 Jun 2011)
Patient Handout (01 Nov 2009)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIIR: First- or Second-Line Palliative Chemotherapy for Metastatic Colorectal Cancer Using Irinotecan. - Protocol (29 Jun 2011)
- Preprinted order (29 Jun 2011)
Patient handout (01 Jan 2009)
GIIRINALT: Second-line treatment for 5-FU refractory metastatic colorectal cancer using weekly scheduled irinotecan. - Protocol (29 Jun 2011)
- Preprinted order (29 
Jun 2011)
Patient handout (01 Jan 2009)
GIRALT: Palliative therapy for unresectable or metastatic colorectal cancer using Raltitrexed. - Protocol (01 May 2011)
- Preprinted order (29 Jun 2011)
Patient handout (01 Jan 2009)

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Esophagus, Stomach Available Documents
(revision date indicated in red)
GIEFUPRT: Combined modality therapy for locally advanced esophageal cancer using 5-Fluorouracil and Cisplatin. Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
Patient handout (01 Oct 2010)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIENAFUPRT: Neo-Adjuvant Combined Modality Therapy for Resectable Esophageal and Gastro-Esophageal Junction Cancer using Cisplatin, Infusional Fluorouracil and Radiation Therapy. Protocol (29 Jun 2011)
- Preprinted order (29 Jun 2011)
Patient handout (01 Feb 2011)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIFUC: Palliative Chemotherapy for Upper Gastrointestinal Tract Cancer (Gastric, Esophageal, Gall Bladder Carcinoma and Cholangiocarcinoma) and Metastatic Anal Cancer using Infusional Fluorouracil and Cisplatin. Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
Patient handout (01 Oct 2010)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIGAIRT: Combined Modality Adjuvant Therapy for Completely Resected Gastric Adenocarcinoma using Fluorouracil + Folinic Acid (Leucovorin) and Radiation Therapy. Protocol (01 May 2011)
Preprinted order (27 Jun 2011)
Patient handout (01 Feb 2011)
UGIGAVCCT: Palliative Treatment of Metastatic or Inoperable, Locally Advanced Gastric or Gastroesophageal Junction Adenocarcinoma using Cisplatin, Capecitabine and Trastuzumab Protocol (27 Jun 2011)
Preprinted order (01 Sep 2011)
Patient handout (01 May 2011)
UGIGAVCFT: Palliative Treatment of Metastatic or Inoperable, Locally Advanced Gastric or Gastroesophageal Junction Adenocarcinoma using Cisplatin, Infusional Fluorouracil and Trastuzumab Protocol (29 Jun 2011)
Preprinted order (01 Sep 2011)
Patient handout (01 May 2011)
GIGAVECC: Palliative Therapy for Metastatic or Locally Advanced Gastric or Esophagogastric Cancer Using Epirubicin, Cisplatin and Capecitabine. Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
Patient handout
(01 Jan 2011)
GIGAVECF: Palliative Therapy for Metastatic or Locally Advanced Gastric, Esophagogastric Cancer Using Epirubicin, Cisplatin and Infusional 5-Fluorouracil Protocol (27 Jun 2011)
Preprinted order (01 Mar 2012)
- Patient handout
(01 Jan 2010)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIGAVTR: Continuation of Palliative Treatment of Metastatic or Inoperable, Locally Advanced Gastric or Gastroesophageal Junction Adenocarcinoma using Trastuzumab Protocol (01 Feb 2010)
Preprinted order (01 Sep 2011)
Patient handout (01 May 2011)
GIGDCF: Palliative Treatment of Metastatic or Locally Advanced Gastric, Esophagogastric Junction, or Esophageal Adenocarcinoma using Docetaxel, Cisplatin and Infusional Fluorouracil Protocol (01 Mar 2012)
Preprinted order (01 Mar 2012)
Patient handout
(01 Oct 2010)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIGECC: Perioperative Treatment of Resectable Adenocarcinoma of the Stomach, Gastroesophageal Junction or Lower 1/3 Esophagus using Epirubicin, Cisplatin and Capecitabine Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
Patient handout (01 Jan 2011)
GIGECF: Perioperative Treatment of Resectable Adenocarcinoma of the Stomach, Gastroesophageal Junction or Lower 1/3 Esophagus using Epirubicin, Cisplatin and Infusional Fluorouracil. Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
- Patient handout (01 Dec 2007)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIGFOLFIRI: Palliative Combination Chemotherapy for Metastatic Gastric or Esophageal Adenocarcinoma Using Irinotecan, Fluorouracil and Folinic Acid (Leucovorin). Protocol (29 Jun 2011)
- Preprinted order (29 Jun 2011)
- Patient handout (01 Seo 2009)
Pancreas, Gall Bladder, Biliary Tract Available Documents
(revision date indicated in red)
GIAVPG: First-line Palliative Chemotherapy for Advanced Gallbladder Cancer and Cholangiocarcinoma using Gemcitabine and Cisplatin. Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
Patient handout (01 Nov 2009)
UGIFIRINOX: Palliative Combination Chemotherapy for Metastatic Pancreatic Adenocarcinoma Using Irinotecan, Oxaliplatin, Fluorouracil and Folinic Acid (Leucovorin) Protocol (01 Jun 2011)
- Preprinted order (01 Jun 2011)
Patient handout (01 Jun 2011)
GIFUC:  (SEE UNDER ESOPHAGUS, STOMACH SECTION)
GIPAJFF: Adjuvant Therapy for Resected Pancreatic Cancer using Leucovorin and Fluorouracil DELETED 1 April 2010
GIPAJGEM: Adjuvant Chemotherapy for Pancreatic Adenocarcinoma Using Gemcitabine Protocol (01 May 2012)
Preprinted order (01 May 2012)
Patient handout (01 Jan 2009)
GIPGEM: Palliative Therapy for Pancreatic Adenocarcinoma, Gallbladder Cancer, and Cholangiocarcinoma Using Gemcitabine Protocol (01 Dec 2011)
Preprinted order (27 Jun 2011)
Patient handout (01 Jan 2009)

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Liver Available Documents
(revision date indicated in red)
GIA: Palliative therapy for hepatoma using Doxorubicin. - Protocol (01 May 2011)
- Preprinted order (27 Jun 2011)
Patient handout (01 Jan 2009)
UGISORAF: Therapy for Advanced Hepatocellular Carcinoma Using Sorafenib (NEXAVAR®). Protocol (01 Mar 2012)
Preprinted order (01 Mar 2012)
- Patient handout (01 Oct 2008)
UGIYTT: Yttrium-90 for Transarterial Radioembolisation (TARE) Protocol (1 Nov 2011)

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Carcinoid and Neuroendocrine Tumours Available Documents
(revision date indicated in red)
UGIAVTZCAP: Palliative therapy of Metastatic Neuroendocrine Cancer using Temozolomide and Capecitabine. Protocol (01 May 2011)
- Preprinted order (01 May 2009)
Patient handout (01 Jan 2011)
GIENDO2: Palliative Therapy for Pancreatic Endocrine Tumours Using Streptozocin and Doxorubicin. Protocol (29 Jun 2011)
- Preprinted order (29 Jun 2011)
- Patient handout (01 Jan 2010)
UGIOCTLAR: Symptomatic Management of Functional Carcinoid and Neuroendocrine Tumors of the GI Tract Using Octreotide. - Protocol (1 Nov 2011)
- Preprinted order (1 Nov 2011)
- Patient handout (1 Nov 2011)
GIPE: Palliative Therapy of Neuroendocrine Tumours using Cisplatin and Etoposide. Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
- Patient handout (01 Apr 2010)
UGIPNEVER: Palliative Treatment of Advanced Pancreatic Neuroendocrine Tumours using Everolimus Protocol (01 Jun 2011)
- Preprinted order (01 Jun 2011)
Patient handout (01 Jun 2011)
UGIPNSUNI: Palliative Treatment of Advanced Pancreatic Neuroendocrine Tumours using SUNItinib (SUTENT®) Protocol (14 Sep 2011)
- Preprinted order (01 Jun 2011)
Patient handout (01 Jun 2011)
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Others Available Documents
(revision date indicated in red)
GICART: Combined Modality Therapy for Carcinoma of the Anal Canal using Mitomycin, Capecitabine and Radiation Therapy Protocol (1 Nov 2011)
Preprinted order (01 Jun 2011)
Patient handout (01 Feb 2011)
GICPART: Combined Modality Therapy for Carcinoma of the Anal Canal using Cisplatin, Capecitabine and Radiation Therapy Protocol (29 Jun 2011)
Preprinted order (29 Jun 2011)
Patient handout (01 May 2011)
GIFUART: Combined Modality Curative Therapy for Carcinoma of the Anal Canal using Mitomycin, Fluorouracil and Radiation Therapy. - Protocol (01 May 2012)
- Preprinted order (01 May 2012)
Patient handout (01 May 2012)
- Infusor™ – Patient Guide
- Discontinue Infusor™ from IVAD
- Discontinue Infusor™ from PICC 
GIFUPART: Combined Modality Curative Therapy for Carcinoma of the Anal Canal using Cisplatin, Infusional Fluorouracil and Radiation Therapy. Protocol (27 Jun 2011)
Preprinted order (27 Jun 2011)
Patient handout (01 May 2011)
GIFUC:  (SEE UNDER ESOPHAGUS, STOMACH SECTION)
GIFUIP: Chemotherapy of pseudomyxoma peritonei using intraperitoneal Mitomycin and Fluorouracil - Protocol (01 May 2010)

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