NOM NOM NOM: Why Is Anyone Waiting on Watch and Wait?

Monday, June 3, 2024

8:05 AM – 9:05 AM ET, USA

Location: Baltimore Convention Center, Room 314-317

Co-Moderator(s)

Rodrigo O. Perez, MD, PhD

Chair Colorectal surgery division
Hospital alemão Oswaldo Cruz
Hospital Alemão Oswaldo Cruz
Sao paulo, Sao Paulo, Brazil

Disclosure information not submitted.
Thomas Curran, MD, MPH

Associate Professor
Medical University of South Carolina
Medical University of South Carolina
Charleston, South Carolina, United States

Disclosure information not submitted.

CME Credit: 1
Self-Assessment Credit: 1
Contact Hours: 1

This symposium will tackle the inherent challenges in organ preservation for patients who achieve a complete clinical response (cCR). Accurate diagnostic criteria of cCR, selection of patients based on baseline features, and preferred treatment strategies will be addressed as well as the specific features of patients who achieve a "near-complete" response including the uncertainties of clear diagnostic criteria and potential risks for organ-preservation strategies for this specific group of patients. Finally, we will address the risk for subsequent distant metastases after achieving a cCR with or without the development of local regrowth.

Learning Objectives:

Upon completion of this activity, participants should be able to:

Explain the clinical, endoscopic and radiological features that should be considered for patients potentially candidates for Watch and wait .
Recognize the potential benefits and risks associated with organ-preservation strategies for patients who achieve a "near-complete" response to neoadjuvant therapy.
Explain the risks for development of distant metastases in patients who achieve a cCR and are managed non-operatively with Watch and Wait.