CGA-IGC INTERNATIONAL CLINIC DIRECTORY QUESTIONS
Hereditary GI & Pancreatic Cancer Programs

Hereditary GI Cancer Centers and Pancreatic Surveillance Programs provide comprehensive services for those who may be at an increased risk of cancer based on family history or genetics.

We invite members from CGA-IGC, InSiGHT, EHTG and LA-GETH to complete this short questionnaire and your Expert Center will be added to the CGA-IGC 'Find a Clinic' map and the downloadable list on our website.

The first part of the questionnaire is for Hereditary GI Cancer Programs. The second part of the questionnaire is for Pancreatic Cancer Surveillance Programs.

You must be a member of one of these societies to list your center. More info about CGA-IGC membership here.

This resource allows patients & their families find a center with the expertise needed to diagnose and care for individuals with hereditary GI cancer syndromes, no matter where they live in the world.

Any questions? Contact info@cgaigc.com

1. HEREDITARY GI CANCER CENTER

Question Title

* 1. Professional membership, please mark all that apply below:

CGA-IGC

International Society for Gastrointestinal Hereditary Tumours (InSiGHT)

European Hereditary Tumor Group (EHTG)

Latin America Grupo de Estudios de Tumores Hereditarios (LA-GETH)

None of the above

Question Title

* 2. Institution

Question Title

* 3. Provider Specialties

Gastroenterologist

Medical oncologist

Surgical oncologist

GI surgeon

Geneticist

Genetic counselor

Nutritionist

Behavioral health

Other (please specify)

Question Title

* 4. Address of Institution

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Phone Number *

Question Title

* 5. Institution's website. If your institution does not have a website, please type NA.

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* 6. Does your Institution provide a Hereditary GI Tumor Registry?

Yes

Question Title

* 7. Procedures available at institution (check all that apply)

Upper Endoscopy

Colonoscopy

Deep enteroscopy (AKA Balloon enteroscopy

Capsule endoscopy

Surveillance endoscopic ultrasound (EUS)

Abdominal MRI for pancreatic surveillance

Combined endometrial biopsy and colonoscopy

Whole body MRI

Other high-risk surveillance

CGA-IGC INTERNATIONAL CLINIC DIRECTORY QUESTIONSHereditary GI & Pancreatic Cancer Programs

Question Title

* 1. Professional membership, please mark all that apply below:

Question Title

* 2. Institution

Question Title

* 3. Provider Specialties

Question Title

* 4. Address of Institution

Question Title

* 5. Institution's website. If your institution does not have a website, please type NA.

Question Title

* 6. Does your Institution provide a Hereditary GI Tumor Registry?

Question Title

* 7. Procedures available at institution (check all that apply)

CGA-IGC INTERNATIONAL CLINIC DIRECTORY QUESTIONS
Hereditary GI & Pancreatic Cancer Programs