Enhanced recovery after surgery decreases intestinal recovery time and pain intensity in patients undergoing curative gastrectomy.

Ji, Weiping and Chandoo, Arvine and Guo, Xiaoling and You, Tao and Shao, Zhuo and Zheng, Kailian and Wang, Juan and Bi, Jianwei and Smith, Fang Gao and Tucker, Olga Noreen and Shen, Xian (2018) Enhanced recovery after surgery decreases intestinal recovery time and pain intensity in patients undergoing curative gastrectomy. Cancer management and research, 10. pp. 3513-3520. ISSN 1179-1322.

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Abstract

Background

Enhanced recovery after surgery (ERAS) reduces postoperative stress, increases patient satisfaction, and reduces postoperative stay and cost. In this study, we evaluated the feasibility and effectiveness of ERAS protocols compared with conventional perioperative care group and their effect in gastric cancer patients undergoing gastrectomy.

Methods

A cohort of 366 patients were analyzed from a prospectively maintained database. The patients' characteristics, tumor profile, surgical information data and postoperative complications were evaluated.

Results

Patients in the ERAS had a faster gastrointestinal function recovery and first flatus (3.26±0.64; <0.001). Pain intensity of patients in the ERAS group was significantly lower than that of patients in the conventional care group on postoperative days 1 (2.33±0.98; <0.001) and 3 (1.06±0.63; <0.001). Postoperative hospital stays were significantly shorter in patients receiving ERAS program (6.66±3.36; <0.001), than in those patients who received conventional perioperative care (9.02±2.61).

Conclusion

ERAS can reduce postoperative stress, enhance the recovery of the gut, reduce the pain intensity, and increase satisfaction in gastric cancer patient undergoing curative gastrectomy.

Item Type: Article
Subjects: WI Digestive system. Gastroenterology
WO Surgery
Divisions: Planned IP Care > General Surgery
Related URLs:
Depositing User: Miss Emily Johnson
Date Deposited: 08 Oct 2018 11:15
Last Modified: 08 Oct 2018 11:15
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1754

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