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Gastric Cancer. 2016 Jan;19(1):15-20. doi: 10.1007/s10120-015-0513-0. Epub 2015 Jul 4.

Follow-up after gastrectomy for cancer: the Charter Scaligero Consensus Conference.

Author information

1
Surgical Clinic, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy. Gianluca.baiocchi@unibs.it.
2
Department of Surgical Sciences, Catholic University, Rome, Italy. ddugo@rm.unicatt.it.
3
Memorial Sloan Kettering Cancer Center, New York, USA. coitd@mskcc.org.
4
Cambridge University Hospitals Foundation Trust, Cambridge, UK. richard.hardwick@addenbrookes.nhs.uk.
5
Santa Casa Medical School, São Paulo, Brazil. paulokassab@terra.com.br.
6
Niigata Cancer Center, Niigata, Japan. nasimoto@niigata-cc.jp.
7
Surgical Oncology, Department of Human Pathology and Oncology, Siena University, Siena, Italy. marrelli@unisi.it.
8
Royal Marsden NHS Foundation Trust, London, UK. william.allum@rmh.nhs.uk.
9
Medical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy. alfredo.berruti@gmail.com.
10
Department of Surgical Gastroenterology and Center of Excellence for Upper Gastro Intestinal Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, India. smchandra@yahoo.com.
11
Odette Cancer Research, Sunnybrook Research Institute, Toronto, Canada. natalie.coburn@sunnybrook.ca.
12
Anderson Center, Madrid, Spain. gonzalez@mdanderson.es.
13
Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany. arnulf.hoelscher@uk-koeln.de.
14
The Netherlands Cancer Institute, Amsterdam, The Netherlands. epm.jansen@nki.nl.
15
Riga East University Hospital, University of Latvia, Riga, Latvia. cei@latnet.lv.
16
Department of Digestive and Oncological Surgery, University Hospital of Lille, Lille, France. christophe.mariette@chru-lille.fr.
17
Deutsche Gesellschaft für Chirurgie, Luisenstrasse 58/59, 10117, Berlin, Germany. prof.hj.meyer@gmail.com.
18
Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany. stefan.moenig@uk-koeln.de.
19
Department of General Surgery, Morgagni-Pierantoni Hospital, Forlì, Italy. morgagni2002@libero.it.
20
Department of Surgery, University of Heidelberg, Heidelberg, Germany. katja.ott@med.uni-heidelberg.de.
21
The Royal Surrey County Hospital and Minimal Access Therapy Training Unit, Guildford, Surrey, UK. shaun.preston@nhs.net.
22
Yonsei Cancer Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea. rha7655@yuhs.ac.
23
Surgical Oncology, Department of Human Pathology and Oncology, Siena University, Siena, Italy. roviello@unisi.it.
24
Cancer Institute Hospital, Tokyo, Japan. takeshi.sano@jfcr.or.jp.
25
Hyogo College of Medicine, Hyogo, Japan. msasako@hyo-med.ac.jp.
26
Department of Surgery, School of Medicine, Toho University, Tokyo, Japan. hideaki.shimada@med.toho-u.ac.jp.
27
Chirurgische Klinik, Technische Universität München, Munich, Germany. christoph.schuhmacher@tum.de.
28
Department of Surgery, National University Hospital, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. jimmyso@nus.edu.sg.
29
Memorial Sloan Kettering Cancer Center, New York, USA. strongv@mskcc.org.
30
Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan. yoshikawat@kcch.jp.
31
Shizuoka Cancer Center, Shizuoka, Japan. m.terashima@scchr.jp.
32
Blokhin Center for Cancer Research, Russian Academy of Medical Sciences, Moscow, Russia. termd@rambler.ru.
33
Department of Surgical Oncology, Endocrine and Gastrointestinal Surgery, Leiden University Medical Center, Leiden, The Netherlands. c.j.h.van_de_velde@lumc.nl.
34
University of Brescia, Brescia, Italy. maurizio.memo@unibs.it.
35
Medicus Mundi, Brescia, Italy. francesco.castelli@unibs.it.
36
Infectious Diseases, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy. francesco.castelli@unibs.it.
37
University of Brescia, Brescia, Italy. sergio.pecorelli@unibs.it.
38
AIFA, Rome, Italy. sergio.pecorelli@unibs.it.
39
Verona University, Verona, Italy. claudio.detogni@gmail.com.
40
Department of Gastroenterological Surgery 2, Nagoya University, Nagoya, Japan. ykodera@med.nagoya-u.ac.jp.
41
1st Department of General Surgery, Borgo Trento Hospital, University of Verona, Verona, Italy. giovanni.demanzoni@univr.it.

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.

KEYWORDS:

Chemotherapy; Cross-sectional imaging; Follow-up; Gastric cancer; Prognosis; Surgery; Tumor markers; Upper gastrointestinal tract endoscopy

PMID:
26140915
PMCID:
PMC4890702
DOI:
10.1007/s10120-015-0513-0
[Indexed for MEDLINE]
Free PMC Article

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