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“Introduction Gastric cancer is the second most common cause of cancer death worldwide [1], being responsible for 650 000 deaths annually. In the UK in 2007, there were 5,236 deaths from stomach cancer, making it the seventh most common cause of cancer death and responsible for over 3% of all cancer related mortality [2]. In 2007 the age-standardised rate of gastric carcinoma in the UK was 5.7 per 100 000 population. The majority of the patients present with non-acute symptoms but gastric cancer can also manifest as an emergency with haematemesis, visceral perforation, or gastric outlet obstruction.