State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience

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• dc.contributor.author Salvans Ruiz, Silvia
• dc.contributor.author Grande Posa, Luís
• dc.contributor.author Dal Cero, Mariagiulia
• dc.contributor.author Pera Roman, Manuel Ramón
• dc.date.accessioned 2023-01-09T07:20:06Z
• dc.date.available 2023-01-09T07:20:06Z
• dc.date.issued 2023
• dc.description.abstract Enhanced recovery after surgery (ERAS) programs provide a framework to standardize care processes and improve outcomes. The results of this multimodal and multidisciplinary approach based on actions focused on reducing physiological surgical stress in the preoperative, intraoperative, and postoperative periods are beneficial in reducing morbidity and hospital stay, without increasing readmissions across different surgical settings. The implementation of ERAS in resection procedures of esophageal and gastric cancer has been challenging due to the complexity of these surgical techniques and the high risk of complications. Despite the limited evidence of ERAS in esophagectomy operations, systematic reviews and meta-analysis have confirmed a reduction of pulmonary complications and hospital stay without increasing readmissions. In gastrectomy operations, the implementation of ERAS reduces the use of nasogastric tubes and intraabdominal drains, facilitates early diet, and reduces the length of hospital stay, without increasing complications. There is, however, wide heterogeneity and absence of standardization in the number and definition of the ERAS components. The development of ERAS consensus guidelines including procedure-specific components may reduce this variability. Regardless growing evidence of the effectiveness of ERAS, the adherence rate is still low. The commitment of the multidisciplinary team and leadership is critical in the application and refinement of ERAS protocols in parallel with periodic audits. Pre- and post-habilitation methods are emerging concepts to be incorporated in ERAS protocols.
• dc.format.mimetype application/pdf
• dc.identifier.citation Salvans S, Grande L, Dal Cero M, Pera M. State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience. Updates Surg. 2023 Feb; 75(2): 373-82. DOI: 10.1007/s13304-022-01311-8
• dc.identifier.doi http://dx.doi.org/10.1007/s13304-022-01311-8
• dc.identifier.issn 2038-131X
• dc.identifier.uri http://hdl.handle.net/10230/55235
• dc.language.iso eng
• dc.publisher Springer
• dc.rights © Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s13304-022-01311-8.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Adherence
• dc.subject.keyword Enhanced recovery after surgery
• dc.subject.keyword Esophagectomy
• dc.subject.keyword Gastrectomy
• dc.title State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion