title: Follow-up after gastrectomy for cancer: the Charter Scaligero Consensus Conference.
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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mesh_terms: D017024:Chemotherapy, Adjuvant; D032921:Consensus; D016099:Endoscopy, Gastrointestinal; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis; D010820:Physicians; D017410:Practice Guidelines as Topic; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000601:surgery*
keywords: Chemotherapy; Cross-sectional imaging; Follow-up; Gastric cancer; Prognosis; Surgery; Tumor markers; Upper gastrointestinal tract endoscopy