Enhanced Recovery in Surgery for Gastric Cancer
https://doi.org/10.22416/1382-4376-2020-30-6-19-27
Abstract
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.
About the Authors
O. V. Ilyina
MEDSI Clinical Hospital No. 1
Russian Federation
Russian Federation
Olga V. Ilyina — Surgeon, Thoracoabdominal Surgery and Oncology Unit
123464, Moscow Region, Krasnogorsk District, Pyatnitskoye sh., km 6
D. V. Ruchkin
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
Dmitry V. Ruchkin — Dr. Sci. (Med.), Head of the Department of Oesophageal and Gastric Reconstructive Surgery
117997, Moscow, Bolshaya Serpukhovskaya str., 27
I. A. Kozyrin
MEDSI Clinical Hospital No. 1
Russian Federation
Russian Federation
Ivan A. Kozyrin — Cand. Sci. (Med.), Head of the Thoracoabdominal Surgery and Oncology Unit
123464, Moscow Region, Krasnogorsk District, Pyatnitskoye sh., km 6
Yu. A. Stepanova
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
Yulia A. Stepanova — Dr. Sci. (Med.), Secretary Scientific
117997, Moscow, Bolshaya Serpukhovskaya str., 27
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Ilyina O.V., Ruchkin D.V., Kozyrin I.A., Stepanova Yu.A. Enhanced Recovery in Surgery for Gastric Cancer. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2020;30(6):19-27. (In Russ.) https://doi.org/10.22416/1382-4376-2020-30-6-19-27
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