Erschienen in:
01.01.2016 | Special Report
Follow-up after gastrectomy for cancer: the Charter Scaligero Consensus Conference
verfasst von:
Gian Luca Baiocchi, Domenico D’Ugo, Daniel Coit, Richard Hardwick, Paulo Kassab, Atsushi Nashimoto, Daniele Marrelli, William Allum, Alfredo Berruti, Servarayan Murugesan Chandramohan, Natalie Coburn, Santiago Gonzàlez-Moreno, Arnulf Hoelscher, Edwin Jansen, Marcis Leja, Christophe Mariette, Hans-Joachim Meyer, Stefan Mönig, Paolo Morgagni, Katia Ott, Shaun Preston, Sun Young Rha, Franco Roviello, Takeshi Sano, Mitsuru Sasako, Hideaki Shimada, Cristoph Schuhmacher, Jimmy So Bok-yan, Vivian Strong, Takaki Yoshikawa, Masanori Terashima, Michail Ter-Ovanesov, Cornelis Van der Velde, Maurizio Memo, Francesco Castelli, Sergio Pecorelli, Claudio Detogni, Yasuhiro Kodera, Giovanni de Manzoni
Erschienen in:
Gastric Cancer
|
Ausgabe 1/2016
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Abstract
Purpose
Presently, there is no scientific evidence supporting a definite role for follow-up after
gastrectomy for cancer, and clinical practices are quite different around the globe. The aim of this consensus conference was to present an ideal prototype of follow-up after gastrectomy for cancer, based on shared experiences and taking into account the need to rationalize the diagnostic course without losing the possibility of detecting local recurrence at a potentially curable stage.
Methods
On June 19–22, 2013 in Verona (Italy), during the 10th International Gastric Cancer Congress (IGCC) of the International Gastric Cancer Association, a consensus meeting was held, concluding a 6-month, Web-based, consensus conference entitled “Rationale of oncological follow-up after gastrectomy for cancer.”
Results
Forty-eight experts, with a geographical distribution reflecting different health cultures worldwide, participated in the consensus conference, and 39 attended the consensus meeting. Six statements were finally approved, displayed in a plenary session and signed by the vast majority of the 10th IGCC participants. These statements are attached as an annex to the Charter Scaligero on Gastric Cancer.
Conclusion
After gastrectomy for cancer, oncological follow-up should be offered to patients; it should be tailored to the stage of the disease, mainly based on cross-sectional imaging, and should be discontinued after 5 years.