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Enhanced recovery after esophageal resection
Peter Vorwald1, Marcos Bruna Esteban1, Sonia Ortega Lucea1
1Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
Cirugia Espanola
|March 26, 2018
Summary
Enhanced Recovery After Surgery (ERAS) protocols streamline perioperative care for esophageal surgery. Implementing ERAS pathways can significantly decrease patient recovery time, complications, and healthcare expenses.
Area of Science:
- Medicine
- Surgery
- Perioperative Care
Background:
- Traditional perioperative care for esophageal surgery involves multiple interventions.
- Enhanced Recovery After Surgery (ERAS) is a multimodal approach supported by evidence-based practices.
- ERAS programs aim to optimize patient recovery and reduce surgical stress.
Purpose of the Study:
- To present a protocol for an ERAS pathway specifically designed for resective esophageal surgery.
- To consolidate evidence-based best practices into a structured perioperative care plan.
- To provide a multidisciplinary consensus on ERAS implementation for this surgical group.
Main Methods:
- Literature review and consensus from a multidisciplinary meeting in 2015.
- Development of a protocol based on RICA guidelines (2015).
- Structuring ERAS measures into preoperative, perioperative, and postoperative phases.
Main Results:
- The developed protocol integrates various ERAS components into a cohesive time chart.
- ERAS pathways for esophageal resection surgery are designed to improve patient outcomes.
- Implementation of ERAS is expected to reduce postoperative morbidity and mortality.
Conclusions:
- ERAS programs offer a standardized, evidence-based approach to esophageal surgery.
- The proposed ERAS pathway can lead to reduced hospitalization duration and costs.
- Adoption of ERAS protocols is crucial for enhancing patient recovery and surgical outcomes.
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