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Open Access 01-04-2017 | Original Article

The Development, Application and Analysis of an Enhanced Recovery Programme for Major Oesophagogastric Resection

Authors: Timothy J. Underwood, F. Noble, N. Madhusudan, D. Sharland, R. Fraser, J. Owsley, M. Grant, J. J. Kelly, James P. Byrne, on behalf of the South Coast Cancer Collaboration-Oesophago-Gastric (SC -OG)

Published in: Journal of Gastrointestinal Surgery | Issue 4/2017

Abstract

Background

Enhanced recovery programmes improve outcomes in surgery, but their implementation after upper gastrointestinal resection has been limited. The aim of this study was to compare short-term outcomes for patients undergoing oesophagogastric surgery in an enhanced recovery programme (EROS).

Methods

EROS was developed after a multidisciplinary meeting by multiple rounds of revision. EROS was applied to all patients undergoing major upper GI resection at a university teaching hospital in the UK from 20/9/13, with data reviewed at 18/09/15. EROS was assessed to identify predictors for compliance.

Results

One hundred six patients underwent major upper GI resection including 81 oesophagectomies, 24 gastrectomies and 1 colonic interposition graft. Major complications (Clavien Dindo ≥3) occurred in 12 patients with 1 in-hospital death. Thirty-five patients (44%) were discharged on target day 8 of the EROS programme. Age and complications were independently associated with missing this discharge target.

Conclusion

Enhanced recovery is feasible and safe after major upper gastrointestinal surgery.

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Title: The Development, Application and Analysis of an Enhanced Recovery Programme for Major Oesophagogastric Resection
Authors: Timothy J. Underwood
F. Noble
N. Madhusudan
D. Sharland
R. Fraser
J. Owsley
M. Grant
J. J. Kelly
James P. Byrne
on behalf of the South Coast Cancer Collaboration-Oesophago-Gastric (SC -OG)
Publication date: 01-04-2017
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 4/2017
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-017-3363-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Development, Application and Analysis of an Enhanced Recovery Programme for Major Oesophagogastric Resection

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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