Enhanced Recovery in Surgery for Gastric Cancer
Aim. A summarising review of national and international practices in enhanced recovery after surgery (ERAS) for gastric cancer.Key points. Although ERAS is a routine protocol in colorectal surgery, little agreement exists on its effectiveness and safety in upper gastrointestinal surgery, particularly...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Gastro LLC
2020-12-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Subjects: | |
| Online Access: | https://www.gastro-j.ru/jour/article/view/493 |
| _version_ | 1797245188799725568 |
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| author | O. V. Ilyina D. V. Ruchkin I. A. Kozyrin Yu. A. Stepanova |
| author_facet | O. V. Ilyina D. V. Ruchkin I. A. Kozyrin Yu. A. Stepanova |
| author_sort | O. V. Ilyina |
| collection | DOAJ |
| description | Aim. A summarising review of national and international practices in enhanced recovery after surgery (ERAS) for gastric cancer.Key points. Although ERAS is a routine protocol in colorectal surgery, little agreement exists on its effectiveness and safety in upper gastrointestinal surgery, particularly, for gastric cancer (GC). General recommendations are being widely followed in clinical practice, whilst the adherence to GC-specific measures is still limited. The review highlights the specific measures of perioperative nutrition, surgical approach, early postoperative diet, phase-out of routine nasogastric or nasojejunal tubes, audit of results. The GC-specific protocols include the early detection of postoperative complications, especially the oesophagojejunal anastomosis leakage, to facilitate the ERAS safety and early oral nutrition.Conclusion. Current evidence suggests a strong association of ERAS with improved outcomes and quality of life in the early postoperative period. The long-term impact of ERAS remains understudied but is expected to reduce complications and their severity in oncological surgery. |
| first_indexed | 2024-03-08T09:20:53Z |
| format | Article |
| id | doaj.art-5756b3ced4034fbfa4eb022fe2421e90 |
| institution | Directory Open Access Journal |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| last_indexed | 2024-04-24T19:22:56Z |
| publishDate | 2020-12-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj.art-5756b3ced4034fbfa4eb022fe2421e902024-03-25T16:53:09ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-12-01306192710.22416/1382-4376-2020-30-6-19-27393Enhanced Recovery in Surgery for Gastric CancerO. V. Ilyina0D. V. Ruchkin1I. A. Kozyrin2Yu. A. Stepanova3MEDSI Clinical Hospital No. 1A.V. Vishnevsky Institute of SurgeryMEDSI Clinical Hospital No. 1A.V. Vishnevsky Institute of SurgeryAim. A summarising review of national and international practices in enhanced recovery after surgery (ERAS) for gastric cancer.Key points. Although ERAS is a routine protocol in colorectal surgery, little agreement exists on its effectiveness and safety in upper gastrointestinal surgery, particularly, for gastric cancer (GC). General recommendations are being widely followed in clinical practice, whilst the adherence to GC-specific measures is still limited. The review highlights the specific measures of perioperative nutrition, surgical approach, early postoperative diet, phase-out of routine nasogastric or nasojejunal tubes, audit of results. The GC-specific protocols include the early detection of postoperative complications, especially the oesophagojejunal anastomosis leakage, to facilitate the ERAS safety and early oral nutrition.Conclusion. Current evidence suggests a strong association of ERAS with improved outcomes and quality of life in the early postoperative period. The long-term impact of ERAS remains understudied but is expected to reduce complications and their severity in oncological surgery.https://www.gastro-j.ru/jour/article/view/493gastric cancergastrectomyenhanced recovery after surgeryc-reactive protein |
| spellingShingle | O. V. Ilyina D. V. Ruchkin I. A. Kozyrin Yu. A. Stepanova Enhanced Recovery in Surgery for Gastric Cancer Российский журнал гастроэнтерологии, гепатологии, колопроктологии gastric cancer gastrectomy enhanced recovery after surgery c-reactive protein |
| title | Enhanced Recovery in Surgery for Gastric Cancer |
| title_full | Enhanced Recovery in Surgery for Gastric Cancer |
| title_fullStr | Enhanced Recovery in Surgery for Gastric Cancer |
| title_full_unstemmed | Enhanced Recovery in Surgery for Gastric Cancer |
| title_short | Enhanced Recovery in Surgery for Gastric Cancer |
| title_sort | enhanced recovery in surgery for gastric cancer |
| topic | gastric cancer gastrectomy enhanced recovery after surgery c-reactive protein |
| url | https://www.gastro-j.ru/jour/article/view/493 |
| work_keys_str_mv | AT ovilyina enhancedrecoveryinsurgeryforgastriccancer AT dvruchkin enhancedrecoveryinsurgeryforgastriccancer AT iakozyrin enhancedrecoveryinsurgeryforgastriccancer AT yuastepanova enhancedrecoveryinsurgeryforgastriccancer |