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

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 postoperat...

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Autores: Salvans Ruiz, Silvia, Grande Posa, Luís, Dal Cero, Mariagiulia, Pera Román, Manuel
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/55235
Acceso en línea:http://hdl.handle.net/10230/55235
http://dx.doi.org/10.1007/s13304-022-01311-8
Access Level:acceso abierto
Palabra clave:Adherence
Enhanced recovery after surgery
Esophagectomy
Gastrectomy
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spelling State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experienceSalvans Ruiz, SilviaGrande Posa, LuísDal Cero, MariagiuliaPera Román, ManuelAdherenceEnhanced recovery after surgeryEsophagectomyGastrectomyEnhanced 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.Springer202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/55235http://dx.doi.org/10.1007/s13304-022-01311-8reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Inglés© Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s13304-022-01311-8.info:eu-repo/semantics/openAccessoai:recercat.cat:10230/552352026-05-29T05:05:01Z
dc.title.none.fl_str_mv State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
title State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
spellingShingle State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
Salvans Ruiz, Silvia
Adherence
Enhanced recovery after surgery
Esophagectomy
Gastrectomy
title_short State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
title_full State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
title_fullStr State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
title_full_unstemmed State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
title_sort State of the art of enhanced recovery after surgery (ERAS) protocols in esophagogastric cancer surgery: the Western experience
dc.creator.none.fl_str_mv Salvans Ruiz, Silvia
Grande Posa, Luís
Dal Cero, Mariagiulia
Pera Román, Manuel
author Salvans Ruiz, Silvia
author_facet Salvans Ruiz, Silvia
Grande Posa, Luís
Dal Cero, Mariagiulia
Pera Román, Manuel
author_role author
author2 Grande Posa, Luís
Dal Cero, Mariagiulia
Pera Román, Manuel
author2_role author
author
author
dc.subject.none.fl_str_mv Adherence
Enhanced recovery after surgery
Esophagectomy
Gastrectomy
topic Adherence
Enhanced recovery after surgery
Esophagectomy
Gastrectomy
description 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.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/55235
http://dx.doi.org/10.1007/s13304-022-01311-8
url http://hdl.handle.net/10230/55235
http://dx.doi.org/10.1007/s13304-022-01311-8
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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