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

Mesh : Chemotherapy, Adjuvant Consensus Endoscopy, Gastrointestinal Follow-Up Studies Gastrectomy Humans Neoplasm Recurrence, Local / diagnosis Physicians Practice Guidelines as Topic Stomach Neoplasms / drug therapy surgery

来  源:   DOI:10.1007/s10120-015-0513-0   PDF(Sci-hub)

Abstract:
OBJECTIVE: 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.
CONCLUSIONS: 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.
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