Usefulness of enhanced recovery after surgery protocol as compared with conventional perioperative care in gastric surgery

Background Radical gastrectomy for gastric cancer is among the most invasive procedures in gastrointestinal surgery. Several studies have found that an enhanced recovery after surgery (ERAS) protocol is useful in patients who undergo colorectal surgery, but its value in gastric surgery remains uncer...

Full description

Saved in:
Bibliographic Details
Published in:Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association 2012, Vol.15 (1), p.34-41
Main Authors: Yamada, Takanobu, Hayashi, Tsutomu, Cho, Haruhiko, Yoshikawa, Takaki, Taniguchi, Hideki, Fukushima, Ryoji, Tsuburaya, Akira
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Analgesics - therapeutic use
Body Weight
Cancer Research
Female
Gastrectomy - methods
Gastric cancer
Gastroenterology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original Article
Pain Measurement
Pain, Postoperative - drug therapy
Pain, Postoperative - epidemiology
Perioperative Care - methods
Stomach Neoplasms - surgery
Surgical Oncology
Time Factors
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Radical gastrectomy for gastric cancer is among the most invasive procedures in gastrointestinal surgery. Several studies have found that an enhanced recovery after surgery (ERAS) protocol is useful in patients who undergo colorectal surgery, but its value in gastric surgery remains uncertain. The aim of this study was to assess the usefulness of an ERAS protocol for gastric surgery. Methods We studied the clinical characteristics, oncological factors, surgical factors, and outcomes in patients who underwent elective radical gastrectomy for gastric cancer before and after the introduction of an ERAS protocol. Results The first days of oral intake, oral intake recovery, flatus, and defecation were significantly earlier in the ERAS group ( n  = 91) than in the conventional care (CONV) group ( n  = 100). Maximum pain evaluated on a visual analog scale and the number of additional analgesics on demand were significantly less in the ERAS group than in the CONV group. The ratio of the postoperative body weight at 1 week to the preoperative body weight was significantly higher in the ERAS group than in the CONV group (0.95 vs. 0.94, respectively, P  = 0.01). Conclusion Our results suggest that the ERAS protocol is useful in patients who undergo elective radical gastrectomy.
ISSN:1436-3291
1436-3305
DOI:10.1007/s10120-011-0057-x