Follow-up after gastrectomy for cancer:results of an international web round table

Oncological follow-up after radical gastrectomy for cancer still represents a discrepancy in the field,with many retrospective series demonstrating that early diagnosis of recurrence does not result in an improvement in patient survival;yet,many centers with high quality of care still provide routin...

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Published inWorld journal of gastroenterology : WJG Vol. 20; no. 34; pp. 11966 - 11971
Main Author Baiocchi, Gian Luca
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 14.09.2014
Subjects
cancer
Consensus
Cooperative Behavior
Diagnosis
Diagnostic Imaging - methods
Disease Progression
Disease-Free Survival
Follow-up
Gastrectomy - adverse effects
Gastrectomy - mortality
Gastric
Health Care Surveys
Humans
International Cooperation
Internet
Neoplasm Recurrence, Local
Predictive Value of Tests
Prog
Recurrence
Stomach Neoplasms - mortality
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Time Factors
Topic Highlight
Treatment Outcome
Recurrence
Chemotherapy
Prognosis
Surgery
Diagnosis
Gastric cancer
Follow-up
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Summary:Oncological follow-up after radical gastrectomy for cancer still represents a discrepancy in the field,with many retrospective series demonstrating that early diagnosis of recurrence does not result in an improvement in patient survival;yet,many centers with high quality of care still provide routine patient follow-up after surgery by clinical and instrumental controls.This was the topic for a web round table entitled"Rationale and limits of oncological follow-up after gastrectomy for cancer"that was launched one year before the 10th International Gastric Cancer Congress.Authors having specific expertise were invited to comment on their previous publications to provide the subject for an open debate.During a three-month-long discussion,32 authors from 12 countries participated,and 2299people visited the dedicated web page.Substantial differences emerged between the participants:authors from Japan,South Korea,Italy,Brazil,Germany and France currently engage in instrumental follow-up,whereas authors from Eastern Europe,Peru and India do not,and British and American surgeons practice it in a rather limited manner or in the context of experimental studies.Although endoscopy is still considered useful by most authors,all the authors recognized that computed tomography scanning is the method of choice to detect recurrence;however,many limit follow-up to clinical and biochemical examinations,and acknowledge the lack of improved survival with early detection.
Bibliography:Gian Luca Baiocchi;Yasuhiro Kodera;Daniele Marrelli;Fabio Pacelli;Paolo Morgagni;Franco Roviello;Giovanni De Manzoni;Department of Medical and Surgical Sciences,Surgical Clinic,Brescia University,Brescia 25123,Italy;Department of Gastroenterological Surgery,Surgery Ⅱ,Nagoya University,Nagoya 452-0813,Japan;Department of Human Pathology and Oncology,Surgical Oncology,Siena University,Siena 53011,Italy;Department of Surgical Sciences,Digestive Surgery,Catholic University,Rome 00118,Italy;Department of General Surgery,MorgagniPierantoni Hospital,Forlì 47121,Italy;1~(st) Department of General Surgery,Borgo Trento Hospital,University of Verona,Verona 37121,Italy
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Correspondence to: Gian Luca Baiocchi, MD, Department of Medical and Surgical Sciences, Surgical Clinic, Brescia University, Piazzale Spedali Civili 1, Brescia 25123, Italy. gianluca.baiocchi@unibs.it
Telephone: +39-338-5949921 Fax: +39-30-3995600
Author contributions: Morgagni P was responsible for study concept and design; Baiocchi GL was the chairman of the web round table; Kodera Y, Marrelli D and Pacelli F were the co-chairmen of the web round table and were responsible for acquisition of data; Baiocchi GL wrote the paper; Roviello F and De Manzoni G critically reviewed the paper for intellectual content.
ISSN:1007-9327
2219-2840
2219-2840
DOI:10.3748/wjg.v20.i34.11966