Journal article
Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations.
- Low DE Head of Thoracic Surgery and Thoracic Oncology, C6-GS, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA, 98101, USA. donald.low@vmmc.org.
- Allum W The Royal Marsden Hospitals, London, UK.
- De Manzoni G University of Verona, Verona, Italy.
- Ferri L McGill University Health Centre, Montreal, Canada.
- Immanuel A Newcastle upon Tyne Hospitals, Newcastle upon Tyne, UK.
- Kuppusamy M Head of Thoracic Surgery and Thoracic Oncology, C6-GS, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA, 98101, USA.
- Law S Queen Mary Hospital, Hong Kong, China.
- Lindblad M Karolinska Institutet, Stockholm, Sweden.
- Maynard N Oxford Radcliffe Hospitals, Oxford, UK.
- Neal J Head of Thoracic Surgery and Thoracic Oncology, C6-GS, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA, 98101, USA.
- Pramesh CS Tata Memorial Centre, Mumbai, India.
- Scott M Virginia Commonwealth University Health System, Richmond, VA, USA.
- Mark Smithers B Princess Alexandra Hospital, The University of Queensland, Brisbane, Australia.
- Addor V Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
- Ljungqvist O Örebro University, Örebro, Sweden.
- 2018-10-03
Published in:
- World journal of surgery. - 2019
Enteral Nutrition
Esophageal Neoplasms
Esophagectomy
Humans
Lymph Node Excision
Minimally Invasive Surgical Procedures
Perioperative Care
Practice Guidelines as Topic
Recovery of Function
English
INTRODUCTION
Enhanced recovery after surgery (ERAS) programs provide a format for multidisciplinary care and has been shown to predictably improve short term outcomes associated with surgical procedures. Esophagectomy has historically been associated with significant levels of morbidity and mortality and as a result routine application and audit of ERAS guidelines specifically designed for esophageal resection has significant potential to improve outcomes associated with this complex procedure.
METHODS
A team of international experts in the surgical management of esophageal cancer was assembled and the existing literature was identified and reviewed prior to the production of the guidelines. Well established procedure specific components of ERAS were reviewed and updated with changes relevant to esophagectomy. Procedure specific, operative and technical sections were produced utilizing the best current level of evidence. All sections were rated regarding the level of evidence and overall recommendation according to the evaluation (GRADE) system.
RESULTS
Thirty-nine sections were ultimately produced and assessed for quality of evidence and recommendations. Some sections were completely new to ERAS programs due to the fact that esophagectomy is the first guideline with a thoracic component to the procedure.
CONCLUSIONS
The current ERAS society guidelines should be reviewed and applied in all centers looking to improve outcomes and quality associated with esophageal resection.
Enhanced recovery after surgery (ERAS) programs provide a format for multidisciplinary care and has been shown to predictably improve short term outcomes associated with surgical procedures. Esophagectomy has historically been associated with significant levels of morbidity and mortality and as a result routine application and audit of ERAS guidelines specifically designed for esophageal resection has significant potential to improve outcomes associated with this complex procedure.
METHODS
A team of international experts in the surgical management of esophageal cancer was assembled and the existing literature was identified and reviewed prior to the production of the guidelines. Well established procedure specific components of ERAS were reviewed and updated with changes relevant to esophagectomy. Procedure specific, operative and technical sections were produced utilizing the best current level of evidence. All sections were rated regarding the level of evidence and overall recommendation according to the evaluation (GRADE) system.
RESULTS
Thirty-nine sections were ultimately produced and assessed for quality of evidence and recommendations. Some sections were completely new to ERAS programs due to the fact that esophagectomy is the first guideline with a thoracic component to the procedure.
CONCLUSIONS
The current ERAS society guidelines should be reviewed and applied in all centers looking to improve outcomes and quality associated with esophageal resection.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1007/s00268-018-4786-4
- PMID 30276441
- Persistent URL
- https://sonar.ch/global/documents/77064
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