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World Journal of Surgery
Published in: World Journal of Surgery 2/2019

01-02-2019 | Scientific Review

Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Authors: Donald E. Low, William Allum, Giovanni De Manzoni, Lorenzo Ferri, Arul Immanuel, MadhanKumar Kuppusamy, Simon Law, Mats Lindblad, Nick Maynard, Joseph Neal, C. S. Pramesh, Mike Scott, B. Mark Smithers, Valérie Addor, Olle Ljungqvist

Published in: World Journal of Surgery | Issue 2/2019

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Abstract

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.
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Metadata
Title
Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations
Authors
Donald E. Low
William Allum
Giovanni De Manzoni
Lorenzo Ferri
Arul Immanuel
MadhanKumar Kuppusamy
Simon Law
Mats Lindblad
Nick Maynard
Joseph Neal
C. S. Pramesh
Mike Scott
B. Mark Smithers
Valérie Addor
Olle Ljungqvist
Publication date
01-02-2019
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 2/2019
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-018-4786-4

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